Individual
RICHARD J KOZENY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
226 S WOODS MILL RD, STE 43 W, CHESTERFIELD, MO 63017-3662
(314) 205-6444
(314) 205-6433
Mailing address
226 S WOODS MILL RD, STE 43 W, CHESTERFIELD, MO 63017-3662
(314) 205-6444
(314) 205-6433
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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