Provider Demographics
NPI:1023751989
Name:KOZEL, KENTON GREY (DO)
Entity type:Individual
Prefix:DR
First Name:KENTON
Middle Name:GREY
Last Name:KOZEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-1634
Mailing Address - Country:US
Mailing Address - Phone:252-522-7000
Mailing Address - Fax:252-522-7007
Practice Address - Street 1:100 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-1634
Practice Address - Country:US
Practice Address - Phone:252-522-7000
Practice Address - Fax:252-522-7007
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC202501953207R00000X
VA0116037069207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine