Percy Junior McKitthen, B.A.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

3269676 Issued in PA

Practice address

5353 Lindbergh Blvd
Philadelphia, PA 19143-5829

Phone

(267) 770-2878

NPI assigned

Mar 5, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1437490174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 N BROAD ST",
            "address_2": "APT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191263626",
            "telephone_number": "267-221-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 LINDBERGH BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435829",
            "telephone_number": "267-770-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKITTHEN",
        "first_name": "PERCY",
        "middle_name": "JUNIOR",
        "name_prefix": "Mr.",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "PA",
            "license": "3269676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn McKinney, CRNP
• Malti McKinnon, DPT
• Michael McKinnon
• Samuel McKinnon, MD, MSC
• Andrew R McKinstry-Wu, MD
• Laurie Lyn McKittrick
• Heather McKnight-Menci, MSN, CRNP
• Caitlin McKnight, M.ED CCC-SLP
• Letonia McKnight
• Therese Pauline McKnight, CRNP

• Case Manager/Care Coordinator in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Manager/Care Coordinator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.