Kosak, Kevin Richard

Kosak, Kevin Richard is an individual health care provider with primary practice located at 14450 Eagle Run Dr Suite 150, Omaha NE 68116-1493. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kosak, Kevin Richard can be contacted via phone (402) 964-0300.

Contact Information

Primary practice address
14450 Eagle Run Dr Suite 150 Omaha NE 68116-1493
Phone: (402) 964-0300
Fax: (402) 964-0058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1298 Nebraska

Profile Details

NPI number 1669465043
LBN Legal business name Kosak, Kevin Richard
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jul 15th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669465043 NPPES
Nebraska MEDICAID 1002519300

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