Kevin William Kozlik, is a
Specialist/technologist - Athletic Trainer based in Bala Cynwyd, Pennsylvania. Kevin William Kozlik is licensed to practice in Pennsylvania (license number RT007149) and his current practice location is
100 Presidential Blvd, Bala Cynwyd, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(610) 668-0904.
NPI number for Kevin William Kozlik is 1295253888 and his current mailing address is 71 Holly Tree Ln, Toms River, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295253888.
Healthcare Provider's Profile
Full Name | Kevin William Kozlik |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 100 Presidential Blvd, Bala Cynwyd, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295253888
- Provider Enumeration Date: 09/02/2017
- Last Update Date: 05/24/2021
Medical Identifiers
Medical identifiers for Kevin William Kozlik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295253888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | RT007149 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin William Kozlik is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kevin William Kozlik, 71 Holly Tree Ln, Toms River, NJ 08753-2514 Ph: () - | Kevin William Kozlik, 100 Presidential Blvd, Bala Cynwyd, PA 19004-1108 Ph: (610) 668-0904 |
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