Individual
DR. KEVIN A KIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2311 LEWISVILLE CLEMMONS RD STE 301, CLEMMONS, NC 27012-8905
(336) 631-4770
(336) 631-4558
Mailing address
349 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-5100
(208) 467-5199
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9266
NC
1223P0221X
Pediatric Dentistry
Primary
D3446-PD
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6E060
BLUE CROSS OF IDAHO
ID
05
—
805756700
—
ID
Enumeration date
08/05/2006
Last updated
01/21/2026
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