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Individual

MS. KATHLEEN ANN COZZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
751 NE BLAKELY DR STE 4500, ISSAQUAH, WA 98029-6201
(206) 215-2090
(206) 215-3099
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60003299
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1060542
WA
Enumeration date
05/08/2008
Last updated
05/26/2023
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