Jeanna R Keizer, RDH
Individual provider Active NPI Dental Hygienist · Baxter Springs, KS
NPI 1083048342 · NPPES record last updated Aug 22, 2013
Key facts
- NPI
- 1083048342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 11149 (KS)
- Practice address
- 2990 Military Ave
Baxter Springs, KS 66713-2331 - Phone
- (620) 856-2900
- Fax
- (620) 856-2901
- NPI assigned
- Aug 22, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11149 | KS | MD | Social Worker |
Interoperability endpoints
- jeanna.keizer@chcsek.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 11149 | KS | Yes |
Addresses
Primary practice location
2990 Military Ave
Baxter Springs, KS 66713-2331
Mailing address
3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873
Other providers in Baxter Springs, KS
- Hailo Davis
- Alison L Eaton
- Evergreen Haven LLC
- Evergreen Living LLC
- Horses of Hope Riding Center, Inc.
- Legacy Living
- Jamie D Lundy
- Tammy Lux
- Lydia McCoy
- Robert McElwee
All providers in Baxter Springs, KS · Dental Hygienist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.