NPI 1093111551

John Kozlik, PAC

Practitioner Medical Physician Assistant Jefferson City, MO

Practice location

Address: 2302 Militia Dr, Jefferson City, MO 65101-1203
Phone: (573) 638-9530
Mailing address: General Leonard Wood Community Hospital 4234 Illinois Ave., Fort Leonard Wood, MO 65473-9098

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA170500 (OR)

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Registry record

NPI: 1093111551
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Nov 2014
Record last updated: 24 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.