Barry Kitts, DO
Individual provider Active NPI Family Medicine Physician · Sparta, MI
NPI 1508860941 · NPPES record last updated May 25, 2010
Key facts
- NPI
- 1508860941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101008439 (MI)
- Practice address
- 2111 12 Mile Rd NW
Sparta, MI 49345-9754 - Phone
- (616) 391-8470
- Fax
- (616) 391-8495
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101008439 | MI | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101008439 | MI | Yes |
Addresses
Primary practice location
2111 12 Mile Rd NW
Sparta, MI 49345-9754
Mailing address
2111 12 Mile Rd NW
Sparta, MI 49345-9754
Phone (616) 391-8470
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4195563 | Medicaid | MI |
Other providers in Sparta, MI
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- Cynthia Lydia Jaimes
- Kerry Jennings
- Amber Johnson
- Julie Anna Jolliffe
- Rebecca Marie Knauf
- Knowlton & McFall Dentistry, PLLC
- Andrew H. Knowlton
- Elizabeth Labra-Silberzahn
- Matthew John Lang
All providers in Sparta, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.