Individual
COURTNEY KATHLEEN KOZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 MENTOR AVE, #100, MENTOR, OH 44060-8713
(440) 352-4880
Mailing address
9500 MENTOR AVE, #100, MENTOR, OH 44060-8713
(440) 352-4880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004792RX
OH
Other
Enumeration date
09/27/2016
Last updated
02/26/2021
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