Individual provider · Type 1 NPI
Kenneth L. Bosarge, DC
Chiropractor · Moss Point, MS
NPI number
1568557296
Active
Practice location
7302D Highway 613
Moss Point, MS 39563-9312
Fax (228) 474-1325
Mailing address
PO Box 2028
Escatawpa, MS 39552-2028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 867 (MS) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
Other chiropractor providers in Moss Point
About NPI 1568557296
Kenneth L. Bosarge, DC's National Provider Identifier is 1568557296, issued on Oct 4, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Moss Point, MS. The record was last updated on Jul 8, 2007.