Kosciusko Chiropractic Clinic

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

1174 Issued in MS

Legal business name

KOSCIUSKO CHIROPRACTIC CLINIC

Practice address

235 N Madison St
Kosciusko, MS 39090-3626

Phone

(662) 303-9830

NPI assigned

Jul 29, 2011

Last updated

Jul 29, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Felicia Poe, D.C.

Title

Owner

Phone

(662) 303-9830

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1689952335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N MADISON ST",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N MADISON ST",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903626",
            "telephone_number": "662-303-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSCIUSKO CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-303-9830",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MS",
            "license": "1174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Jones
• Ivory J Jones
• Latoya Jones
• Whitney Jones
• Kelly Kight
• Haley Kuhn
• L&M Transportation
• Allison Langford, FNP
• Mary Katherine Lawrence, APRN
• Rebecca R Leach

• Exclusive Provider Organization in Kosciusko, MS
• Providers in Kosciusko, MS by specialty
• Exclusive Provider Organization in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.