Provider Demographics
NPI:1427767722
Name:KOZY, STEFANIE D
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:D
Last Name:KOZY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4816 SHERMAN RD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-7098
Mailing Address - Country:US
Mailing Address - Phone:330-472-0400
Mailing Address - Fax:
Practice Address - Street 1:4816 SHERMAN RD
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-7098
Practice Address - Country:US
Practice Address - Phone:330-472-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker