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MR. CHESTER B. KOZAK II

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
(913) 758-4185
Mailing address
1530 SOUTHERN HILLS TER, LANSING, KS 66043-6202
(913) 250-0334
(913) 250-0334

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00271
KS

Other

Enumeration date
04/12/2006
Last updated
07/08/2007
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