Individual
KAREN ANN KOZLESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
3524 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 646-3505
Mailing address
3524 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 646-3505
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
200650056NP FNP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
200650056NP
OR
Other
Enumeration date
01/30/2008
Last updated
06/05/2019
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