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NPI Code Detail

MEDICARE: MS. ALLISON BETH KINGZETT PA-C

MEDICARE: MS. ALLISON BETH KINGZETT PA-C
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
1363A00000XPhysician Assistant50.009896RXOH

General Provider Information

NPI Number : 1871465906
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALLISON BETH KINGZETT PA-C
Provider Business Mailing Address
First Line : 3131 NEWMARK DR STE 220
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-5400
Country : US
Telephone Number : 937-438-8910
Fax Number : 937-436-4984
Provider Business Practice Location Address
First Line : 3535 SOUTHERN BLVD
Second Line :
City : KETTERING
State : OH
Zip : 45429-1221
Country : US
Telephone Number : 937-395-8166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2025
Last Update Date : 12/22/2025

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