KENNEDY DAVID KOZAK
NPI 1336837186
Case Manager/Care Coordinator in Provo, UT

Q: What is Kennedy Kozak's NPI number?

The NPI number for Kennedy Kozak is 1336837186. It was assigned to this individual provider in the NPPES registry on April 28, 2023.

Q: What is Kennedy Kozak's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kennedy Kozak was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 28, 2023

750 N FREEDOM BLVD STE 300, PROVO, UT 84601(801) 373-4760(801) 373-0639 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kennedy David Kozak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY DAVID KOZAK (NPI 1336837186) is an individual case manager/care coordinator provider in Provo, Utah and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1336837186

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameKENNEDY DAVID KOZAK

Location Address750 N FREEDOM BLVD STE 300Provo, UT 84601-1690

Mailing Address750 N Freedom Blvd Ste 300Provo, UT 84601-1690 · (801) 373-4760 · Fax (801) 373-0639

Phone(801) 373-4760

Fax(801) 373-0639

Sole ProprietorNo

Enumeration DateApril 28, 2023

NPPES CertifiedApril 28, 2023

✔ NPI 1336837186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

750 N FREEDOM BLVD STE 300, Provo, UT 84601

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