| NPI | 1528272010 |
|---|---|
| Former Name | KELLY M. KOZIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MA RN 243175) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA NP 15534) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-03-13 |