AUDRIE KINGZETT, CPM, LDEM

Midwife

Active Individual
NPI: 1417346511

Practice Address

400 CRATER LAKE AVE
Medford, OR 97504

Phone: (541) 772-2291

Specialties

Specialty Code Primary License
Midwife 176B00000X Yes DEM-LD10166074 (OR)

Frequently Asked Questions

NPI 1417346511 is the National Provider Identifier for AUDRIE KINGZETT, CPM, LDEM, a Midwife provider located in Medford, OR. This NPI was enumerated on January 13, 2015.
AUDRIE KINGZETT, CPM, LDEM practices at 400 CRATER LAKE AVE, Medford, OR 97504.

Quick Facts

NPI
1417346511
Type
Individual
Enumerated
Jan 13, 2015
Last Updated
Jan 13, 2015

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