Individual
MR. LEO F KENZAKOWSKI
Active
Individual
MR. LEO F KENZAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101233641
VA
208000000X
Pediatrics Physician
0101233641
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10228905
ANTHEM
VA
05
—
10228905
—
VA
05
—
1457342255
—
VA
01
—
302011
ANTHEM
VA
01
—
6230121
CIGNA
VA
01
—
631615
SOUTHERN HEALTH
VA
01
—
P00601102
MEDICARE RAILROAD
VA
01
—
P00606712
RR MEDICARE
VA
Enumeration date
10/31/2005
Last updated
09/23/2009
Update your record
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