Kelly Koziol White in Hattiesburg - Perfusionist
Kelly Koziol White - NPI 1629199674
Kelly Koziol White is a Perfusionist in Hattiesburg, Mississippi. Kelly Koziol White practices all healthcare services and medical treatments related to Perfusionist. The NPI Number for Kelly Koziol White is 1629199674. The last update date is 2016-08-23.
Kelly Koziol White's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012685800 and fax number 6015795240. The mailing address for Kelly Koziol White is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly Koziol White |
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Address | 415 S 28th Ave, Hattiesburg, Mississippi |
Phone Number | 6012685800 |
Fax Number | 6015795240 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1629199674 |
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Provider Enumeration Date | 2007-04-03 |
Last Updated Date | 2016-08-23 |
Provider Mailing Address Detail
Address | 415 S 28th Ave |
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City | Hattiesburg |
State | Mississippi (MS) |
Post Code | 394017246 |
Phone Number | 6012685800 |
Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
Speciality | Perfusionist |
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Taxonomy | 242T00000X |
Licence No | 40030 |
Definition: A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable |
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What is the unique 10-digit identifier code assigned to Kelly Koziol White by the Centers for Medicare & Medicaid Services?
The Kelly Koziol White has been issued the NPI (National Provider Identifier) 1629199674 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kelly Koziol White?
The Kelly Koziol White is situated at 415 S 28Th Ave, in the city of Hattiesburg, state of MS, with the zip code 394017246.
What is Kelly Koziol White's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly Koziol White is Perfusionist, and the taxonomy code that categorizes this field of expertise is 242T00000X.
On what date was the 1629199674 assigned to Kelly Koziol White?
The Kelly Koziol White was issued its 1629199674 on 2007-04-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kelly Koziol White, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly Koziol White, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-08-23.