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Contact Information

KEVIN R KOZAK, MD, PHD
707 14TH ST
BARABOO, WI53913-1539
 Phone: 608-356-1400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for KEVIN R KOZAK · (Male)

NPI Number 1124219241
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 08/05/2007
Last updated 06/23/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • FL License # ME148357
  • IL License # 036121114
  • WI License # 51615
  • FL Medicaid 109765700
  • FL Other HVZ5R FL BLUE
  • FL Other NO241 MEDICARE
  • WI Other KOZAKKEV MERCYCARE INSURANCE
Hospital affiliation(s)
  • MERCY HEALTH SYS CORP - (Acute Care)
    1000 MINERAL POINT AVE
    JANESVILLE, WI 53548
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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