NPI 1689952335

Kosciusko Chiropractic Clinic

Organisation Exclusive Provider Organization Kosciusko, MS

Practice location

Address: 235 N Madison St, Kosciusko, MS 39090-3626
Phone: (662) 303-9830

Authorised official

Name: Felicia Poe
Title: Owner
Phone: (662) 303-9830

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1174 (MS)

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Registry record

NPI: 1689952335
Entity type: Organization
NPI issued: 29 Jul 2011
Record last updated: 29 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.