Individual
RYAN JOSEPH KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 N SENATE BLVD STE 535, INDIANAPOLIS, IN 46202-1204
(317) 948-4263
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01083994A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
01083994A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001543259
ANTHEM PTAN
IN
01
—
000001659624
ANTHEM PTAN
IN
05
—
300039578
—
IN
Enumeration date
04/16/2013
Last updated
03/13/2025
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