Kennedy David Kozak
Kennedy David Kozak is a Case Manager/Care Coordinator in Provo, Utah. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
750 N Freedom Blvd Ste 300Provo, UT 84601-1690
Phone: (801) 373-4760
Fax: (801) 373-0639
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1336837186 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 28, 2023 |
| Last updated in NPPES | April 28, 2023 |
| Certification date | April 28, 2023 |
| Mailing address | 750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 |
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