Kathleen Lenore Kozak, CRNA | |
104 W 5th Ave, Suite 250e, Spokane, WA 99204-4880 | |
(509) 838-1547 | |
Not Available |
Full Name | Kathleen Lenore Kozak |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 104 W 5th Ave, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326084229 | NPI | - | NPPES |
9649591 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | IT0000900 (Washington) | Primary |
Entity Name | Pend Oreille County Public Hospital District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427264795 PECOS PAC ID: 3274431184 Enrollment ID: O20031230000017 |
Entity Name | Providence Health & Service- Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508118555 PECOS PAC ID: 0840279758 Enrollment ID: O20090717000201 |
Entity Name | Salish Sedation Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457982308 PECOS PAC ID: 6709216757 Enrollment ID: O20200415002767 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Lenore Kozak, CRNA 104 W 5th Ave, Suite 250e, Spokane, WA 99204-4880 Ph: (509) 838-1547 | Kathleen Lenore Kozak, CRNA 104 W 5th Ave, Suite 250e, Spokane, WA 99204-4880 Ph: (509) 838-1547 |
Chelsea Posenjak, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131 | |
Leah Nicole Triulzi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W 5th Ave, Spokane, WA 99204 Phone: 509-473-5800 | |
Amber George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3181 Fax: 509-227-7070 | |
Miss Diana Marie Bouge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131 | |
Douglas G Demmert, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 842 S Cowley St, Ste 3, Spokane, WA 99202 Phone: 509-939-3483 Fax: 509-228-9542 | |
Krista Hillary Baca, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 104 W 5th Ave, Suite 250e, Spokane, WA 99204 Phone: 509-838-1547 Fax: 509-835-4058 | |
Mrs. Karli Meehan, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W 5th Ave, Spokane, WA 99204 Phone: 509-458-5800 |