Kimberli Vonkey Pittman
Individual provider Active NPI Case Manager/Care Coordinator · Indiantown, FL
NPI 1902168982 · NPPES record last updated Jun 14, 2012
Key facts
- NPI
- 1902168982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 15818 SW Warfield Blvd
Indiantown, FL 34956-3513 - Phone
- (772) 597-0411
- Fax
- (772) 597-0412
- NPI assigned
- Jun 14, 2012
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
15818 SW Warfield Blvd
Indiantown, FL 34956-3513
Mailing address
3493 SE Jake CT Apt 98
Stuart, FL 34994-5057
Phone (772) 985-2018
Other providers in Indiantown, FL
- Candy Edith Pagan
- Alicia B. Pajares
- John Pasquale
- Tisha Alecia Patten
- Physical Therapy Internet P.a.
- Maxine Reeves Davis
- Hazel Lizeth Romero
- Brian Boyd Rucks
- Patricia Del Carmen Ruiz de Nunez
- Leah Dawn Scott
All providers in Indiantown, FL · Case Manager/Care Coordinator in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. 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.