Individual
KEVIN R KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1400
Mailing address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1400
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036121114
IL
2085R0001X
Radiation Oncology Physician
Primary
51615
WI
2085R0001X
Radiation Oncology Physician
ME148357
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109765700
—
FL
01
—
HVZ5R
FL BLUE
FL
01
—
KOZAKKEV
MERCYCARE INSURANCE
WI
01
—
NO241
MEDICARE
FL
Enumeration date
08/05/2007
Last updated
06/23/2025
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