Organization
KEN KOZAWA, I, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE J THOMPSON (CFO)
(865) 213-8336
Entity
Organization
Contact information
Practice address
304 WRIGHT ST, SWEETWATER, TN 37874-1181
(865) 213-8590
(865) 213-8596
Mailing address
304 WRIGHT ST, SWEETWATER, TN 37874-1181
(865) 213-8590
(865) 213-8596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18159
TN
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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