Provider Demographics
NPI:1871347914
Name:KRIZER, KERRI
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:
Last Name:KRIZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 PASEO DE PLAYA APT 412
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-2741
Mailing Address - Country:US
Mailing Address - Phone:805-906-9576
Mailing Address - Fax:
Practice Address - Street 1:308 N MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-2746
Practice Address - Country:US
Practice Address - Phone:805-906-9576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program