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NPI Code Detail

MEDICARE: KEVIN FIZER RD

MEDICARE: KEVIN FIZER RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian86372928CA

General Provider Information

NPI Number : 1225981590
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN FIZER RD
Provider Business Mailing Address
First Line : 1320 HIGHLAND CT
Second Line :
City : MILPITAS
State : CA
Zip : 95035-7058
Country : US
Telephone Number : 408-757-1390
Fax Number :
Provider Business Practice Location Address
First Line : 2615 E CLINTON AVE
Second Line :
City : FRESNO
State : CA
Zip : 93703-2223
Country : US
Telephone Number : 559-225-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2026
Last Update Date : 02/17/2026

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Directions to “ KEVIN FIZER RD” Practice Location

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