Individual
MR. TIMOTHY KOZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 FAIRFIELD DR, SENECA, PA 16346-2130
(814) 676-7600
Mailing address
2928 LENA CT, ERIE, PA 16506-1348
(814) 671-3661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN649354
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN649354
PA
Other
Enumeration date
01/28/2019
Last updated
08/05/2019
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