Kelly Jean Kitts
Individual provider Active NPI Dental Assistant · Minot Afb, ND
NPI 1770210932 · NPPES record last updated Aug 6, 2022
Key facts
- NPI
- 1770210932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- Practice address
- 33 Dundee Dr Apt 2
Minot Afb, ND 58704-1491 - Phone
- (740) 357-8235
- NPI assigned
- Aug 6, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | OH | Yes |
Addresses
Primary practice location
33 Dundee Dr Apt 2
Minot Afb, ND 58704-1491
Mailing address
33 Dundee Dr Apt 2
Minot Afb, ND 58704-1491
Phone (740) 357-8235
Other providers in Minot Afb, ND
- Caleb James
- Deborah K Jones
- Kiernan Judd
- Enoch Kimmel
- Peter Kingsley
- James W Koll
- Lisa Krogman
- Zsuzsanna Danuta Krokovay
- Andrea Marie Larocque
- Soo Young Lee
All providers in Minot Afb, ND · Dental Assistant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2022. 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.