Individual
DANIELLE L KIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2901 SQUALICUM PKWY, ATTN:BEHAVIORAL HEALTH SERVICES, BELLINGHAM, WA 98225-1851
(360) 788-6993
(360) 715-6996
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 788-6993
(360) 715-6993
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
BK6332100
WA
2084P0805X
Geriatric Psychiatry Physician
MD00037882
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256896
L&I AND CRIME VICTIMS
WA
05
—
1114077138
—
WA
01
—
5889KI
REGENCE
WA
01
—
7049911
AETNA
WA
05
—
8489262
—
WA
Enumeration date
01/11/2007
Last updated
11/19/2010
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