IndividualActive
Alyssa Kozacek, D.O.
NPI 1174100895 · Family Medicine Physician · Russell Springs, KY
Provider details
- NPI number
- 1174100895
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 05796 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
404 Steve Drive
Russell Springs, KY 42642-4622
Phone: (270) 866-3161
Fax: (270) 866-3163
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1080
Burkesville, KY 42717-1080
Registry dates
- Enumerated
- 2021-03-27
- Last updated
- 2024-07-08
- Certified
- 2021-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.