Individual
KAYLA KOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 TAMARACK AVE STE 104, SOUTH WINDSOR, CT 06074-5553
(860) 646-1222
Mailing address
2800 TAMARACK AVE STE 104, SOUTH WINDSOR, CT 06074-5553
(860) 533-4695
(860) 648-0013
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3279
CT
Other
Enumeration date
02/11/2015
Last updated
05/30/2019
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