Individual
KAITLIN KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0001
(814) 877-2938
Mailing address
4408 HAMMOCKS DR APT 106, ERIE, PA 16506-7426
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN696521
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN696521
PA RN LICENSE
PA
Enumeration date
02/12/2024
Last updated
02/12/2024
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