Vaja Malia Kittle

Primary specialty

SpecialistTaxonomy code 174400000X

License

PTA21748 Issued in FL

Practice address

710 N Sun Dr
Lake Mary, FL 32746-2507

Phone

(407) 463-6488

NPI assigned

Jan 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Vaja Malia Kittle Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1871864231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 HORNBEAM ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656030",
            "telephone_number": "407-463-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N SUN DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462507",
            "telephone_number": "407-463-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTLE",
        "first_name": "VAJA",
        "middle_name": "MALIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PTA21748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VAJA",
            "last_name": "KITTLE",
            "middle_name": "MALIA",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael Gibson King, PHARMD
• Stacy Rochelle King
• Joseph Thomas Kinney
• Aleksandr Kiriyenko
• Nadia Adison Kisiah
• Stephanie Klausing, PHARMD
• Kerry Richard Kliever, MPT
• Jamie Lee Klunk
• Colleen Knasky, D.C.
• Shelbi Lynne Knauer Hemmerle, PT, DPT

• Specialist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.