Provider Demographics
NPI:1043472699
Name:COSLETT, CHRISTOPHER KIRK (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:KIRK
Last Name:COSLETT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 S MAIN ST
Mailing Address - Street 2:STE C
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2317
Mailing Address - Country:US
Mailing Address - Phone:540-460-6591
Mailing Address - Fax:
Practice Address - Street 1:41 FOX MEADOW LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-3648
Practice Address - Country:US
Practice Address - Phone:540-463-4652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor