Healthcare Provider Details

I. General information

NPI: 1093735201
Provider Name (Legal Business Name): CAROL PERKINS KOZEL R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNC CHAPEL HL CAMPUS HEALTH SERVICES CB# 7470
CHAPEL HILL NC
27599-7470
US

IV. Provider business mailing address

UNC CHAPEL HL CAMPUS HEALTH SERVICES CB# 7470
CHAPEL HILL NC
27599-7470
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-6600
  • Fax: 919-966-0361
Mailing address:
  • Phone: 919-966-6600
  • Fax: 919-966-0361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number074159
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: