Kozak, Kevin R.

Kozak, Kevin R. is an individual health care provider with primary practice located at 25243 Elementary Way , Bonita Springs FL 34135-7898. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Kozak, Kevin R. can be contacted via phone (239) 317-2772.

Contact Information

Primary practice address
25243 Elementary Way Bonita Springs FL 34135-7898
Phone: (239) 317-2772
Fax: (239) 676-7637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME148357 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 51615 Wisconsin
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036121114 Illinois

Profile Details

NPI number 1124219241
LBN Legal business name Kozak, Kevin R.
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Apr 13th, 2021 - about 3 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 1124219241 NPPES
Wisconsin Other KOZAKKEV MERCYCARE INSURANCE
Wisconsin Other HVZ5R MERCYCARE INSURANCE
Wisconsin Other NO241 MERCYCARE INSURANCE
Wisconsin MEDICAID 109765700 MERCYCARE INSURANCE

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