Individual
DR. JEFFREY KOZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4919 2ND AVE, KEARNEY, NE 68847-2482
(308) 237-7693
(308) 237-2948
Mailing address
5915 AVENUE O, KEARNEY, NE 68847-1529
(308) 234-5014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
971
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NE0971
EYEMED
—
Enumeration date
01/23/2007
Last updated
07/08/2007
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