Individual
CAROL M KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
711 DEEMERS LNDG, NEW CASTLE, DE 19720-7212
(302) 323-1810
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
L2-0008335
DE
164W00000X
Licensed Practical Nurse
Primary
PN260889L
PA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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