Individual
KELLIE KOZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4685
(707) 526-1016
Mailing address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4685
(707) 526-1016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
59449
ID
363LP2300X
Primary Care Nurse Practitioner
Primary
59449
ID
Other
Enumeration date
08/30/2018
Last updated
04/25/2023
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