Kozlow, Kenneth Michael
Kozlow, Kenneth Michael is an individual health care provider with primary practice located at 1111 Leffingwell Ave Ne , Grand Rapids MI 49525-6406. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kozlow, Kenneth Michael can be contacted via phone (616) 459-7101.Contact Information
Primary practice address
1111 Leffingwell Ave Ne
Grand Rapids MI 49525-6406
Phone: (616) 459-7101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301089996 | Michigan |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 4301089996 | Michigan |
Profile Details
| NPI number | 1437351780 |
|---|---|
| LBN Legal business name | Kozlow, Kenneth Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Dec 12th, 2013 - about 12 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 | 1437351780 | NPPES |
| Michigan | Other | PO1223797 | MEDICARE RAILROAD |
| Michigan | MEDICAID | 201083320 | MEDICARE RAILROAD |
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