Katelyn M Kozinski-Burkhart, PA-C
Physician Assistant in Bradenton, FL. Individual provider (NPI-1).
NPI number1962106955
StatusActive
Last updated in NPPESMar 27, 2023
Details
- NPI
- 1962106955
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Katelyn M Kozinski-Burkhart
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2023
- Certification date
- Mar 27, 2023
- Last updated
- Mar 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 9117123 | FL | Yes |
Other names
- Katelyn M Kozinski (Former Name)
Practice location
2902 59th St W Ste CBradenton, FL 34209-7021
Phone 941-877-7000
Mailing address
1511 W Fig St Apt 7303Tampa, FL 33606-0021
Phone 847-913-5118
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