Individual
KYLE PATRICK COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2085 GOODMAN RD W STE 80, HORN LAKE, MS 38637-1416
(662) 890-0012
Mailing address
2085 GOODMAN RD W STE 80, HORN LAKE, MS 38637-1416
(662) 890-0012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1376
MS
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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