Provider Demographics
NPI:1972122067
Name:SNYDER, KIERSTEN RENEE (MD)
Entity type:Individual
Prefix:DR
First Name:KIERSTEN
Middle Name:RENEE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1515 RESPONSE RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4805
Mailing Address - Country:US
Mailing Address - Phone:916-649-1515
Mailing Address - Fax:916-649-1516
Practice Address - Street 1:1515 RESPONSE RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4805
Practice Address - Country:US
Practice Address - Phone:916-649-1515
Practice Address - Fax:916-649-1516
Is Sole Proprietor?:No
Enumeration Date:2020-04-09
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA200767207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology