| Ken Kozawa I Md Pc | |
|
304 Wright St Sweetwater TN 37874-1181 | |
| (865) 213-8200 | |
| (865) 213-8596 |
| Full Name | Ken Kozawa I Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 304 Wright St, Sweetwater, Tennessee |
| Authorized Official Name and Position | Kenya Kozawa (OWNER) |
| Authorized Official Contact | 8652138590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Kozawa I Md Pc 304 Wright St Sweetwater TN 37874-1181 Ph: (865) 213-8200 | Ken Kozawa I Md Pc 304 Wright St Sweetwater TN 37874-1181 Ph: (865) 213-8200 |
| NPI Number | 1508865445 |
|---|---|
| Provider Enumeration Date | 07/21/2005 |
| Last Update Date | 05/01/2009 |
| Medicare PECOS PAC ID | 0941218267 |
|---|---|
| Medicare Enrollment ID | O20060329000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508865445 | NPI | - | NPPES |
| 3733125 | Medicaid | TN | |
| 4121508 | Other | BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25483 (Tennessee) | Primary |
| Provider Name | Marsha R Cagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013916691 PECOS PAC ID: 5991692519 Enrollment ID: I20040301000010 |
| Provider Name | Kenya Kozawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568460525 PECOS PAC ID: 9133016819 Enrollment ID: I20040301000013 |
| Provider Name | Michelle L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881951994 PECOS PAC ID: 5890943237 Enrollment ID: I20120910000819 |
| Provider Name | Jim B Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952658403 PECOS PAC ID: 2163684267 Enrollment ID: I20121003000488 |
| Provider Name | Joshua Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669893566 PECOS PAC ID: 5698905099 Enrollment ID: I20140305000096 |
| Provider Name | Thomas G Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649654385 PECOS PAC ID: 7517276850 Enrollment ID: I20151027002328 |
| Provider Name | Kellie Collins Gallaher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376192286 PECOS PAC ID: 0143654137 Enrollment ID: I20191228000193 |
Sweetwater Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Summit St, Sweetwater, TN 37874 Phone: 423-351-7000 Fax: 423-351-7405 | |
William L. Harvey, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 S Main St, Sweetwater, TN 37874 Phone: 423-337-3757 Fax: 423-337-3867 | |
Circle H Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 S Main St, Sweetwater, TN 37874 Phone: 423-337-7933 Fax: 423-337-2806 | |
Sweetwater Physician Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 304 Wright St, Sweetwater, TN 37874 Phone: 865-213-8200 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 731 New Highway 68 Ste 1, Sweetwater, TN 37874 Phone: 423-836-9304 Fax: 423-836-9309 |