Kozlowski, Kenneth Michael
Kozlowski, Kenneth Michael is an sole proprietor health care provider with primary practice located at 2909 4Th St N , St Petersburg FL 33704-2103. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kozlowski, Kenneth Michael can be contacted via phone (727) 823-7308.Contact Information
Primary practice address
2909 4Th St N
St Petersburg FL 33704-2103
Phone: (727) 823-7308
Fax: (727) 824-8855
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | CH-5134 | Florida |
Profile Details
NPI number | 1114927555 |
---|---|
LBN Legal business name | Kozlowski, Kenneth Michael |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 28th, 2005 |
Last updated | Dec 9th, 2021 - about 3 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 | 1114927555 | NPPES |
Florida | MEDICAID | 380607300 | |
Florida | Other | 4405292 | |
Florida | Other | 517289 | |
Florida | Other | 5056815 | |
Florida | Other | 70742 | |
Florida | Other | 4480189 |
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