Individual
KELLIE KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1605 E EVESHAM RD STE 201, VOORHEES, NJ 08043-1437
(856) 565-2900
(856) 565-2901
Mailing address
1001 SHEPPARD RD, VOORHEES, NJ 08043-4796
(817) 946-6960
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00883700
NJ
363A00000X
Physician Assistant
MA066072
PA
Other
Enumeration date
07/24/2015
Last updated
04/24/2025
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