Doctor Name: | REBECCA KATHLEEN KIZER |
NPI Number: | 1699154245 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, STUDENT ND |
License Number: | RN-72322 |
Business Practice Address: | 1812 S Roosevelt Road 8 Portales, NM - 881309724 |
Business Phone Number: | 5752768338 |
Business Fax Number: | 5752768323 |
Mailing Address: | 1698 S Roosevelt Road 13, PORTALES |
State: | NM |
Postal Code: | 881308705 |
Phone Number: | 5752768338 |
Fax Number: | 5752768323 |
NPI Enumeration Date: | 05/28/2015 |
NPI Last Update Date: | 05/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | RN-72322 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy 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. |