Provider / Organization | NPI | Date Certified |
---|---|---|
KELLY MADISON KITTLE | 1578214045 | 2023-01-19 |
Kelly Madison Kittle is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1578214045. Registration indicates Kelly Madison Kittle is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Acute Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Acute Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Kelly Madison Kittle NP |
Practice Office Address | 2100 STANTONSBURG RD GREENVILLE, NC US |
Practice Office Telephone | 2528474100 |
Mailing Address | 2100 STANTONSBURG RD GREENVILLE, NC 278342818 US |
Code | Practice | License No State |
---|---|---|
363LA2100X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Acute Care All Other Specialties & Provider Types Nurse Practitioner Acute Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 5015565
NC |