Individual
RICHARD J KOZENY JR.
Active
Individual
RICHARD J KOZENY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012037325
MO
207R00000X
Internal Medicine Physician
34243
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238352
—
IA
01
—
110222391
RR MEDICARE
IA
05
—
1238352
—
IA
05
—
1255319810
—
IA
05
—
2238352
—
IA
01
—
P01156548
RR MEDICARE
MO
Enumeration date
01/04/2006
Last updated
06/05/2013
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