Individual
DR. VANESSA RAE KIZZIER-CARNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3355 RIVERBEND DR STE 240, SPRINGFIELD, OR 97477-8800
(541) 868-9273
(541) 868-9497
Mailing address
3355 RIVERBEND DR STE 240, SPRINGFIELD, OR 97477-8800
(541) 868-9273
(541) 868-9497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO158135
OR
207R00000X
Internal Medicine Physician
PG156163
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
DO158135
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2009
Last updated
06/26/2015
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