Individual
KAITLYN RAE COSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
5960 HOWDERSHELL RD STE 204, HAZELWOOD, MO 63042-4103
(314) 895-1136
Mailing address
1403 HAMPTON AVE, ST. LOUIS, MO 63139
(314) 955-9355
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
2016013980
MO
Other
Enumeration date
05/05/2016
Last updated
09/06/2024
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