Individual
DEBORAH KOZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
201 ABRAHAM FLEXNER WAY STE 1200, LOUISVILLE, KY 40202
(502) 588-7600
(502) 588-7700
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
03211
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
TP365
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03211
STATE LICENSE
KY
Enumeration date
01/26/2007
Last updated
07/05/2018
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