Individual
DR. KEVIN PETRONELA JUOZAPAVICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O., MS, BS
Contact information
Practice address
201 INDEPENDENCE, COLUMBUS AFB, COLUMBUS, MS 39710-5300
(662) 434-2273
Mailing address
1087 STARK RD, APT 5E, STARKVILLE, MS 39759-3537
(918) 510-0116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.010626
OH
207Q00000X
Family Medicine Physician
4305
OK
Other
Enumeration date
01/12/2006
Last updated
07/22/2021
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