NPI 1083048342

Jeanna R Keizer, RDH

Practitioner Dental Hygienist Baxter Springs, KS

Practice location

Address: 2990 Military Ave, Baxter Springs, KS 66713-2331
Phone: (620) 856-2900
Fax: (620) 856-2901
Mailing address: 3011 N Michigan St, Pittsburg, KS 66762-2546

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 11149 (KS)

Other Dental Hygienist providers in Kansas →

Registry record

NPI: 1083048342
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2013
Record last updated: 22 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.