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NPI Code Detail

MEDICARE: KAITLIN NICOLE ROZZELL-VOSS MA

MEDICARE: KAITLIN NICOLE ROZZELL-VOSS MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1538919477
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN NICOLE ROZZELL-VOSS MA
Provider Business Mailing Address
First Line : 200 W ARBOR DR
Second Line : 0737
City : SAN DIEGO
State : CA
Zip : 92103-9000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 W ARBOR DR
Second Line : 0737
City : SAN DIEGO
State : CA
Zip : 92103-9000
Country : US
Telephone Number : 505-918-4128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2024
Last Update Date : 03/25/2024

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Directions to “ KAITLIN NICOLE ROZZELL-VOSS MA” Practice Location

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