Marilyn J Kitt

Individual provider Active NPI Driver · Burlington, KS

NPI 1497801922 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497801922
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
172A00000X (KS)
Practice address
816 Sanders St
Burlington, KS 66839-1159
Phone
(620) 364-5298
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
172A00000XKSMDDriver

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 172A00000X KS Yes

Addresses

Primary practice location

816 Sanders St
Burlington, KS 66839-1159

Mailing address

816 Sanders St
Burlington, KS 66839-1159
Phone (620) 364-5298

Other providers in Burlington, KS

All providers in Burlington, KS · Driver in Kansas

Sources for this page

Verify at the official NPI Registry.