Kozak, Brenda Kauffman

Kozak, Brenda Kauffman is an individual health care provider with primary practice located at 2605 Keiser Blvd , Wyomissing PA 19610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kozak, Brenda Kauffman can be contacted via phone (610) 685-8500.

Contact Information

Primary practice address
2605 Keiser Blvd Wyomissing PA 19610
Phone: (610) 685-8500
Fax: (610) 685-4833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP009049 Pennsylvania

Profile Details

NPI number 1477508075
LBN Legal business name Kozak, Brenda Kauffman
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Nov 21st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477508075 NPPES
Pennsylvania MEDICAID 101599590 0001

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