Jeanna R Keizer
Dental Hygienist
2990 Military Ave
Baxter Springs
, Kansas 66713-2331
Jeanna R Keizer
Dental Hygienist
2990 Military Ave
Baxter Springs
, Kansas 66713-2331
(620) 231-2808
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Jeanna R Keizer
- 3011 N Michigan St
- Pittsburg, KS
- Zip : 66762-2546
- Fax : (620) 231-2808
- Phone : (620) 231-9873
Second Address
- Jeanna R Keizer
- 2990 Military Ave
- Baxter Springs, KS
- Zip : 66713-2331
- Fax : (620) 856-2901
- Phone : (620) 856-2900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 11149 | KS |
National Provider Identifier
| NPI | 1083048342 |
|---|---|
| Provider Name | Jeanna R Keizer |
| First Address | Pittsburg, KS 66762-2546 |
| Second Address | Baxter Springs, KS 66713-2331 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2013 |
| Last Update Date | 22/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.