Kenneth Michael Kozlowski, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH-5134 Issued in FL

Practice address

2909 4TH St N
St Petersburg, FL 33704-2103

Phone

(727) 823-7308

Fax

(727) 824-8855

NPI assigned

Jul 28, 2005

Last updated

Dec 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth M Kozlowski D.C.P.a.

  • Chiropractor
  • Clearwater, FL
  • NPI 1225315328
  Medicare reassignment NPD Authorized official
• Clark Chiropractic Health Center Inc

  • Chiropractor
  • St Petersburg, FL
  • NPI 1467516856
  NPD
• Staci L. Price, DC, PA

  • Chiropractor
  • Clearwater, FL
  • NPI 1114227576
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1114927555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042103",
            "telephone_number": "727-823-7308",
            "fax_number": "727-824-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042103",
            "telephone_number": "727-823-7308",
            "fax_number": "727-824-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "KENNETH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH-5134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "4405292",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCM",
            "identifier": "5056815",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380607300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4480189",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORD",
            "identifier": "517289",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70742",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Joseph Kovarik III, PHARMD
• Saliha Kozan, PHD
• Nora Koziel, ARNP
• Gregory Nicholas Kozlov, DO
• Nicholas A. Kozlov, M.D.
• KPW Health LLC
• Frances Kramer, PT
• Shelley Kranz
• Stacy Eileen Kratz, PHD, LCSW, CAP
• Debra Kraus

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.