Kezar, Kristina S

Kezar, Kristina S is an individual health care provider with primary practice located at 269 S Candy Ln , Cottonwood AZ 86326-4158. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kezar, Kristina S can be contacted via phone (928) 639-5588.

Contact Information

Primary practice address
269 S Candy Ln Cottonwood AZ 86326-4158
Phone: (928) 639-5588
Fax: (928) 639-5589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M15940 Idaho
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4301079543 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M15940 Idaho
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 36786 Arizona

Profile Details

NPI number 1669452348
LBN Legal business name Kezar, Kristina S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jun 3rd, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669452348 NPPES
Arizona MEDICAID 151148

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