| Doctor Name: | MS. SUSANNA SCOTT KIVETTE |
| NPI Number: | 1336573633 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 0010-04332 |
| Business Practice Address: | 86 N Mitchell Ave Bakersville, NC - 287056502 |
| Business Phone Number: | 8286882104 |
| Business Fax Number: | |
| Mailing Address: | Po Box 27, BAKERSVILLE |
| State: | NC |
| Postal Code: | 287050027 |
| Phone Number: | 8286882104 |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2013 |
| NPI Last Update Date: | 08/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0010-04332 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |