Individual provider · Type 1 NPI

Grant Alan Kozeny

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1154024628 Active

Practice location

One Medical Center Boulevard
Winston Salem, NC 27157-0001

Fax (336) 716-7595

Mailing address

2201 E Glenrosa Ave
Phoenix, AZ 85016-6124

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154024628

Grant Alan Kozeny's National Provider Identifier is 1154024628, issued on Mar 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 23, 2023.