Lizette Rene Kinzer, LMT, BEO

Primary specialty

ContractorTaxonomy code 171W00000X

License

MAT 6245 Issued in HI

Practice address

3537 Baldwin Ave Apt a
Makawao, HI 96768-9545

Phone

(808) 573-9081

Fax

(808) 573-9081

NPI assigned

Dec 26, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230249600000",
    "number": "1407092372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967680021",
            "telephone_number": "808-573-9081",
            "fax_number": "808-573-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 BALDWIN AVE APT A",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689545",
            "telephone_number": "808-573-9081",
            "fax_number": "808-573-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZER",
        "first_name": "LIZETTE",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "LMT, BEO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-26",
        "last_updated": "2008-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "HI",
            "license": "MAT 6245",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "HI",
            "license": "BEO 16589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ursula M.a. Kahakauwila, MAT-12051
• Scott Satoru Kanamori, D.D.S
• Ted T Kanamori, DDS
• Lynette Day Kanelos, O.T
• Joyce Sohn Kim
• Megan Kosaka, MA MFT
• Angela Krey, M.A.
• Ronald C. Kwon, M.D.
• Melinda Ann Lacour, RPH.0
• Daniel Joseph Lane, PH.D.

• Contractor in Makawao, HI
• Providers in Makawao, HI by specialty
• Contractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.