Individual
LEEANNA M KOZEVNIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559-0287
(907) 543-6300
(907) 543-6366
Mailing address
PO BOX 528, YUKON KUSKOKWIM HEALTH CORPERATION, BETHEL, AK 99559
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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