Kiza, Vestine M.

Kiza, Vestine M. is an individual health care provider with primary practice located at 8701 Old Troy Pike Suite 20, Huber Heights OH 45424-1066. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kiza, Vestine M. can be contacted via phone (937) 233-7146.

Contact Information

Primary practice address
8701 Old Troy Pike Suite 20 Huber Heights OH 45424-1066
Phone: (937) 233-7146
Fax: (937) 237-4776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.003215 Ohio

Profile Details

NPI number 1487922977
LBN Legal business name Kiza, Vestine M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2011
Last updated Jun 5th, 2013 - about 11 years 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 1487922977 NPPES
Ohio Other 0079695 OHIO MEDICAID
Ohio Other 421534506197 OHIO MEDICAID
Ohio Other 000000804232 OHIO MEDICAID
Ohio Other H073990 OHIO MEDICAID

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