Individual
KRISTEN SUSANNAH KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
SOMERSET HOSPITAL, 225 SOUTH CENTER AVE, SOMERSET, PA 15501
(814) 443-5800
Mailing address
3056 MENOHER BLVD, JOHNSTOWN, PA 15905-5603
(814) 483-2146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP012885
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942554787
—
PA
Enumeration date
11/01/2012
Last updated
04/07/2021
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