Individual
DR. KENNETH WAYNE KIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3740 CLOVER VALLEY RD, ROCKLIN, CA 95677-1504
(916) 624-1774
Mailing address
3740 CLOVER VALLEY RD, ROCKLIN, CA 95677-1504
(916) 734-4754
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G41907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
CA
Enumeration date
05/26/2017
Last updated
06/16/2018
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