Organization Name: | JOAN KITTEN CONSULTING, PC |
NPI Number: | 1336498583 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOAN KITTEN (PROPRIETOR) |
Mailing Address: | 750 8th St Manson |
State: | IA US |
Postal Code: | 505638010 |
Phone Number: | 7124693472 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2012 |
NPI Last Update Date: | 09/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | A106534 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |