Individual
MR. MICHAEL KENNETH KITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
20 MEDICAL VILLAGE DR, STE 258 INDEPENDENT ANESTHESIOLOGISTS, EDGEWOOD, KY 41017-5401
(859) 301-2211
Mailing address
28 GLENRIDGE DR, COLD SPRING, KY 41076-9086
(513) 807-2332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1112744
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
86720
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000691665
ANTHEM
—
05
—
201012210
—
IN
05
—
3123597
—
OH
05
—
7100146600
—
KY
Enumeration date
12/01/2010
Last updated
12/17/2012
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