Individual
HEATHER KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12135 ELMWOOD DR, BENNINGTON, NE 68007-1714
(402) 817-4959
Mailing address
220 OAKCREEK DR, LINCOLN, NE 68528-1587
(402) 817-4959
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23970
NE
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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