Individual
VALERIY KOZMENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1542 TULANE AVE, SUIT 653, NEW ORLEANS, LA 70112
(504) 568-2319
(504) 568-2317
Mailing address
65 CORONADO AVE, KENNER, LA 70065-3132
(504) 452-4414
(509) 267-1948
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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