Kozlek, Kristy Marie
Kozlek, Kristy Marie is an individual health care provider with primary practice located at 1623 Morgantown Rd , Reading PA 19607-9455. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Kozlek, Kristy Marie can be contacted via phone (610) 796-6364.Contact Information
Primary practice address
1623 Morgantown Rd
Reading PA 19607-9455
Phone: (610) 796-6364
Fax: (610) 796-6470
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MT189420 | Pennsylvania |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD436512 | Pennsylvania |
Profile Details
NPI number | 1588786958 |
---|---|
LBN Legal business name | Kozlek, Kristy Marie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2007 |
Last updated | Jun 30th, 2010 - about 15 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 | 1588786958 | NPPES |
Pennsylvania | MEDICAID | 1023295710001 |
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