Organization Name: | DR GARY C KITTO AND ASSOCIATES LLC |
NPI Number: | 1063767788 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY C KITTO (PRESIDENT) |
Mailing Address: | 100 S Limit Ave Sedalia |
State: | MO US |
Postal Code: | 653013655 |
Phone Number: | 6608267909 |
Fax Number: | 6608266737 |
NPI Enumeration Date: | 07/18/2012 |
NPI Last Update Date: | 07/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |