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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
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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