Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn Kozak, MACCC-A

Individual provider Audiologist · NPI 1306887989

Kathryn Kozak, MACCC-A is a Qualified Audiologist in Grand Rapids, Michigan. Qualified in 2002, 24 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2006
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4069 Lake Dr SE Ste 315
Grand Rapids, MI 49546-8816
Phone: (616) 267-7758
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 35010091557 (MI)
Audiologist-Hearing Aid Fitter Taxonomy 237600000X

Record details

NPI number1306887989
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-A
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESAugust 21, 2013
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Grand Rapids