Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 192185 | NC |
N | 2080P0210X | Pediatric Nephrologist | 192185 | NC |
NPI | 1255674412 |
---|---|
Provider Name | Elizabeth Kotzen |
First Address | Durham, NC 27705-4699 |
Second Address | Chapel Hill, NC 27599-4699 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2013 |
Last Update Date | 07/12/2021 |