Kozisek, Mara Renae

Kozisek, Mara Renae is an individual health care provider with primary practice located at 802 Kenyon Rd , Fort Dodge IA 50501-5740. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kozisek, Mara Renae can be contacted via phone (515) 573-3101.

Contact Information

Primary practice address
802 Kenyon Rd Fort Dodge IA 50501-5740
Phone: (515) 573-3101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 134822 Iowa

Profile Details

NPI number 1669276218
LBN Legal business name Kozisek, Mara Renae
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2025
Last updated Jan 26th, 2026 - about 9 months 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.

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