Kozak, Kristen Susannah
Kozak, Kristen Susannah is an individual health care provider with primary practice located at Somerset Hospital 225 South Center Ave, Somerset PA 15501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kozak, Kristen Susannah can be contacted via phone (814) 443-5800.Contact Information
Primary practice address
Somerset Hospital 225 South Center Ave
Somerset PA 15501
Phone: (814) 443-5800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP012885 | Pennsylvania |
Profile Details
| NPI number | 1942554787 |
|---|---|
| LBN Legal business name | Kozak, Kristen Susannah |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2012 |
| Last updated | Apr 7th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942554787 | NPPES |
| Pennsylvania | MEDICAID | 1942554787 |
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