Individual ProviderKathleen Carol KozlowskiLicensed Practical NurseNursing Service ProvidersPractice Address168 Peppermint Rd, Lancaster, NY 14086-9001(716) 706-9226PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Carol Kozlowski does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1871024448Provider TypeIndividualFull NameKozlowski, Kathleen CarolTitleMissCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date3/24/2017Last Updated3/24/2017Contact InformationPractice LocationPractice Address168 Peppermint Rd, Lancaster, NY 14086-9001Phone(716) 706-9226FaxUnlisted FaxMailing LocationMailing Address168 Peppermint Rd, Lancaster, NY 14086-9001Phone(716) 706-9226FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense234400New York