Kozel, Jenny Jane

Kozel, Jenny Jane is an sole proprietor health care provider with primary practice located at 1818 W Fulton St Suite 201, Rapid City SD 57702-4377. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kozel, Jenny Jane can be contacted via phone (605) 348-6500.

Contact Information

Primary practice address
1818 W Fulton St Suite 201 Rapid City SD 57702-4377
Fax: (605) 341-7409
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 432 South Dakota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 432 South Dakota

Profile Details

NPI number 1932137262
LBN Legal business name Kozel, Jenny Jane
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Sep 20th, 2010 - about 14 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 1932137262 NPPES
South Dakota MEDICAID 6551810

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