Kingzett, Audrie

Kingzett, Audrie is an sole proprietor health care provider with primary practice located at 400 Crater Lake Ave , Medford OR 97504-6808. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Kingzett, Audrie can be contacted via phone (541) 772-2291.

Contact Information

Primary practice address
400 Crater Lake Ave Medford OR 97504-6808
Phone: (541) 772-2291
Fax: (541) 245-0417
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X DEM-LD10166074 Oregon

Profile Details

NPI number 1417346511
LBN Legal business name Kingzett, Audrie
Credentials CPM, LDEM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2015
Last updated Jan 13th, 2015 - 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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