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Individual

VESTINE M KIZA

Active
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Individual

VESTINE M KIZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003215
OH
363A00000X
Physician Assistant
Primary
50.003215RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000804232
ANTHEM BCBS
OH
01
0079695
OHIO MEDICAID
OH
01
421534506197
CARESOURCE
OH
01
H073990
MEDICARE PTAN
OH
Enumeration date
12/12/2011
Last updated
02/26/2026
About Stedi
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