Individual
REGINA BETH KIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNM
Contact information
Practice address
1901 S VENTURA AVE STE B, SPRINGFIELD, MO 65804-2700
(417) 231-1100
Mailing address
11702 E 105TH PL N, OWASSO, OK 74055-6693
(918) 527-5716
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
CNM03885
OK
Other
Enumeration date
02/06/2018
Last updated
06/16/2018
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