Kozawa, Kenya

Kozawa, Kenya is an individual health care provider with primary practice located at 304 Wright St , Sweetwater TN 37874-1181. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kozawa, Kenya can be contacted via phone (865) 213-8590.

Contact Information

Primary practice address
304 Wright St Sweetwater TN 37874-1181
Phone: (865) 213-8590
Fax: (865) 213-8596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25483 Tennessee
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25483 Tennessee

Profile Details

NPI number 1568460525
LBN Legal business name Kozawa, Kenya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Aug 11th, 2008 - about 17 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 1568460525 NPPES
Other 4121557 BLUE CROSS
MEDICAID 3083016 BLUE CROSS

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