Individual provider · Type 1 NPI

Kathleen Michele Kizzee, AGPCNP-BC

Nurse Practitioner · Syracuse, NY

NPI number 1669063566 Active

Practice location

5075 W Seneca Tpke
Syracuse, NY 13215-3216

Mailing address

122 Marian Dr
Mattydale, NY 13211-1826

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X308963 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669063566

Kathleen Michele Kizzee, AGPCNP-BC's National Provider Identifier is 1669063566, issued on Feb 2, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Syracuse, NY. The record was last updated on Jun 9, 2026.