Active NPI
Kitch Health
- Athletic Trainer
- Indianapolis, IN
National Provider Identifier
1407100969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Legal business name
- KITCH HEALTH
- Practice address
- 994 Woodruff Place West Dr
None
Indianapolis, IN 46201-1954 - Phone
- (317) 292-1891
- NPI assigned
- Nov 6, 2012
- Organization subpart
- Yes
- Parent organization
- CREATE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bllair Brandon Kitch
- Title
- President
- Phone
- (317) 292-1891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
994 Woodruff Place West Dr
None
Indianapolis, IN 46201-1954
Mailing address
994 Woodruff Place West Dr
None
Indianapolis, IN 46201-1954
Phone (317) 292-1891
National Provider Directory
National Provider Directory- Part of
- Kitch Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1407100969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "994 WOODRUFF PLACE WEST DR",
"address_2": "NONE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462011954",
"telephone_number": "317-292-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "994 WOODRUFF PLACE WEST DR",
"address_2": "NONE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462011954",
"telephone_number": "317-292-1891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KITCH HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CREATE LLC",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "KITCH",
"authorized_official_first_name": "BLLAIR",
"authorized_official_middle_name": "BRANDON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-292-1891"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.