Individual
DR. JESSICA ANN KOZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9705 LENEXA DR, LENEXA, KS 66215-1345
(913) 396-8509
(913) 318-8378
Mailing address
9705 LENEXA DR, LENEXA, KS 66215-1345
(913) 396-8509
(913) 318-8378
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
04-39128
KS
207ZP0101X
Anatomic Pathology Physician
333588
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
04-39128
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-39128
KS STATE LICENSE
KS
05
—
200034603
—
MO
01
—
2011001475
MO STATE LICENSE
MO
05
—
201261770A
—
OK
01
—
272209
NE STATE LICENSE
NE
05
—
30004477740002
—
KS
Enumeration date
04/10/2008
Last updated
05/13/2026
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