Provider Demographics
NPI:1083696256
Name:KOZLOWSKI, KAREN JEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:JEAN
Last Name:KOZLOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9501 LILE DR SUITE 770
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6227
Mailing Address - Country:US
Mailing Address - Phone:501-221-9700
Mailing Address - Fax:501-221-3239
Practice Address - Street 1:9501 LILE DR SUITE 770
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6227
Practice Address - Country:US
Practice Address - Phone:501-221-9700
Practice Address - Fax:501-221-3239
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC6847207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARE49734Medicare UPIN
AR54174Medicare ID - Type Unspecified