MEDICARE: ROBERT T KIZER MD

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
1	207RG0100X	Gastroenterology Physician	MD-39902	IA
2	207RG0100X	Gastroenterology Physician	23215	NE

General Provider Information

NPI Number	:	1770500514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT T KIZER MD

Provider Business Mailing Address
First Line	:	7261 MERCY RD
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-2311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7710 MERCY RD STE 2000
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-2323
Country	:	US
Telephone Number	:	402-717-9800
Fax Number	:	402-717-6068

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/28/2023

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Directions to “ ROBERT T KIZER MD” Practice Location

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