Individual
MRS. BRENDA KAUFFMAN KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2605 KEISER BLVD, WYOMISSING, PA 19610
(610) 685-8500
(610) 685-4833
Mailing address
2605 KEISER BLVD, WYOMISSING, PA 19610
(610) 685-8500
(610) 685-4833
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009049
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101599590 0001
—
PA
Enumeration date
05/23/2006
Last updated
11/21/2018
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