| Doctor Name: | MRS. KIMBERLY MICHELLE WITTE |
| NPI Number: | 1437290822 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP CS BC |
| License Number: | RN 1070352 |
| Business Practice Address: | 519 Licking Pike Wilder, KY - 41071 |
| Business Phone Number: | 8595720400 |
| Business Fax Number: | 8594423363 |
| Mailing Address: | 519 Licking Pike, WILDER |
| State: | KY |
| Postal Code: | 41071 |
| Phone Number: | 8595720400 |
| Fax Number: | 8594423363 |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 09/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | RN 1070352 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |