Ken Kozawa, I, MD, PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18159 Issued in TN

Legal business name

KEN KOZAWA, I, MD, PC

Practice address

304 Wright St
Sweetwater, TN 37874-1181

Phone

(865) 213-8590

Fax

(865) 213-8596

NPI assigned

Dec 4, 2013

Last updated

Dec 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie J Thompson

Title

Cfo

Phone

(865) 213-8336

Specialties & licenses 1

Addresses

Tax ID family

Ken Kozawa I MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ken Kozawa I MD PC

  • Internal Medicine Physician
  • Sweetwater, TN
  • NPI 1508865445
  NPD tax ID

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1831520683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WRIGHT ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378741181",
            "telephone_number": "865-213-8590",
            "fax_number": "865-213-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WRIGHT ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378741181",
            "telephone_number": "865-213-8590",
            "fax_number": "865-213-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN KOZAWA, I, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "865-213-8336"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Christy Jones, PTA
• Bhargav Bhupendrabhai Joshi
• Samuel Keenan, DO
• Whitney Ann Kelley, PTA
• Ken Kozawa I MD PC
• Frederick A Klein, MD
• Janet Knecht
• Cheryl Ann Kothe
• Kenya Kozawa, M.D.
• Mateasha Leona Lane, PHARMD

• Family Nurse Practitioner in Sweetwater, TN
• Providers in Sweetwater, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.