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Cody Kotelko, DO
Student in an Organized Health Care Education/Training Program in Thousand Oaks, California
NPI 1841930542

Cody Kotelko is a Student in an Organized Health Care Education/Training Program based in Greenwood Village, CA. Cody Kotelko practices in Thousand Oaks, CA and has the professional credentials of DO. The NPI Number for Cody Kotelko is 1841930542 and holds a License No. (California).

The current practice location address for Cody Kotelko is 215 W Janss Rd, Thousand Oaks, CA and can be reached out via phone at 303-726-1368.

Location: 215 W Janss Rd, Thousand Oaks, CA, 80121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841930542
Provider Name
Cody Kotelko
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
215 W Janss Rd, Thousand Oaks, CA, 80121
Phone Number
303-726-1368
Fax Number
Provider Enumeration Date
03/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
215 W Janss Rd
City
Thousand Oaks
State
California
Zip
91360-1847
Phone Number
303-726-1368
Fax Number
person
Provider Business Mailing Address Details
Address
215 W Janss Rd
City
Thousand Oaks
State
California
Zip
91360-1847
Phone Number
303-726-1368
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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