person
Dr. Kenneth L. Bosarge, DC
Chiropractor in Moss Point, Mississippi
NPI 1568557296

Kenneth L. Bosarge is a Chiropractor based in Escatawpa, MS. Kenneth L. Bosarge practices in Moss Point, MS and has the professional credentials of DC. The NPI Number for Kenneth L. Bosarge is 1568557296 and holds a License No. 867 (Mississippi).

The current practice location address for Kenneth L. Bosarge is 7302D Highway 613, Moss Point, MS and can be reached out via phone at 228-475-6437 and via fax at 228-474-1325.

Location: 7302D Highway 613, Moss Point, MS, 39552-2028
person
Provider Profile Details
NPI Number
1568557296
Provider Name
Kenneth L. Bosarge
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
7302D Highway 613, Moss Point, MS, 39552-2028
Phone Number
228-475-6437
Fax Number
228-474-1325
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5598580 01 MS AETNA
institution
Provider Business Practice Location Address Details
Address
7302D Highway 613
City
State
Zip
39563-9312
Phone Number
228-475-6437
Fax Number
228-474-1325
person
Provider Business Mailing Address Details
Address
7302D Highway 613
City
State
Zip
39563-9312
Phone Number
228-475-6437
Fax Number
228-474-1325
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
867 (Mississippi)
Definition
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.
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