Individual
DR. KEVIN RICHARD KOSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
14450 EAGLE RUN DR, SUITE 150, OMAHA, NE 68116-1493
(402) 964-0300
(402) 964-0058
Mailing address
14450 EAGLE RUN DR, SUITE 150, OMAHA, NE 68116-1493
(402) 964-0300
(402) 964-0058
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1298
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002519300
—
NE
Enumeration date
08/31/2005
Last updated
07/15/2008
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