Doctor Name: | DR. KATHERINE ANNA KOCZAN |
NPI Number: | 1639358989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 34.009157 |
Business Practice Address: | 855 Route 58 Suite 1 Parker, PA - 160497029 |
Business Phone Number: | 7246595601 |
Business Fax Number: | |
Mailing Address: | 121 Doctors Ln, CLARION |
State: | PA |
Postal Code: | 162148515 |
Phone Number: | 8142263470 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2007 |
NPI Last Update Date: | 08/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 34.009157 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |