Organization
KOS CHIROPRACTIC CENTER DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELYN L. KOS DC (PRESIDENT)
(203) 484-7579
Entity
Organization
Contact information
Practice address
999 FOXON ROAD SUITE 8, NORTH BRANFORD, CT 06471
(203) 484-7579
(203) 484-2686
Mailing address
999 FOXON RD, UNIT 8, NORTH BRANFORD, CT 06471-1287
(203) 484-7579
(203) 484-2686
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CT000885
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000885CT04
ANTHEM
CT
05
—
4112710
—
CT
01
—
532967
AETNA
CT
01
—
631506
CTCARE
CT
01
—
948313
HEALTHNET
CT
01
—
P1227567
OXFORD
CT
Enumeration date
06/18/2007
Last updated
08/20/2018
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