Individual
KATHLEEN CIZEK
Active
Individual
KATHLEEN CIZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
105368
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010012
ESSENCE
MO
01
—
0400467
UHC
MO
01
—
127469
GHP
MO
01
—
247224
HEALTHLINK
MO
01
—
25195
BCBS
MO
01
—
4412341
AETNA
MO
01
—
F62723
MERCY
MO
Enumeration date
11/03/2005
Last updated
09/21/2012
Update your record
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