| Kathleen Lenore Kozak, CRNA | |
|
104 W 5th Ave, Suite 250e, Spokane, WA 99204-4880 | |
| (509) 838-1547 | |
| Not Available |
| Full Name | Kathleen Lenore Kozak |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |