| Michael J. Kozel, Md, A.p.m.c. | |
|
165 W Oak St Ponchatoula LA 70454-3328 | |
| (985) 386-5943 | |
| (985) 386-8080 |
| Full Name | Michael J. Kozel, Md, A.p.m.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 165 W Oak St, Ponchatoula, Louisiana |
| Authorized Official Name and Position | Michael Joseph Kozel (PRESIDENT) |
| Authorized Official Contact | 9853865943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Kozel, Md, A.p.m.c. 165 W Oak St Ponchatoula LA 70454-3328 Ph: (985) 386-5943 | Michael J. Kozel, Md, A.p.m.c. 165 W Oak St Ponchatoula LA 70454-3328 Ph: (985) 386-5943 |
| NPI Number | 1609039593 |
|---|---|
| Provider Enumeration Date | 07/09/2008 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609039593 | NPI | - | NPPES |
| 39440 | Other | LA | BLUE CROSS |
| 920794 | Other | LA | UNITED HEALTHCARE |
| 1367648 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 019085 (Louisiana) | Primary |
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