Individual
KEITH MICHAEL KOZENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036073084
IL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
036073084
IL
207NS0135X
Procedural Dermatology Physician
Primary
036073084
IL
Other
Enumeration date
06/13/2005
Last updated
01/05/2016
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