Individual
DR. JONATHAN BENJAMIN KOZINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 WORNALL RD, ATTN: PBS, KANSAS CITY, MO 64111-3220
(816) 932-7940
(816) 932-9670
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7940
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2006012810
MO
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
2006012810
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204929202
—
MO
Enumeration date
05/14/2007
Last updated
01/13/2014
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