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Organization
RIMA KITTLEY, MD
Active
Organization
RIMA KITTLEY, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIMA Z KITTLEY MD (OWNER)
(936) 634-5699
Entity
Organization
Contact information
Practice address
1501 HANKS ST, STE B, LUFKIN, TX 75904-5411
(936) 634-5699
(936) 634-5659
Mailing address
PO BOX 152405, LUFKIN, TX 75915-2405
(936) 634-5699
(936) 634-5659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J7018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070PG
BCBS GROUP
TX
05
—
161159202
—
TX
01
—
8X6840
BCBS
TX
Enumeration date
08/22/2006
Last updated
12/31/2014
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