Individual
DR. SUZANNA FRANCES KITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1813 W. KIRBY AVE., CHAMPAIGN, IL 61821-5410
(217) 383-1850
(217) 383-3439
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036135965
IL
2084P0800X
Psychiatry Physician
2008-00744
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1541Y
BCBS NC
NC
05
—
5913553
—
NC
01
—
P00809569
RAILROAD MEDICARE
NC
Enumeration date
07/23/2007
Last updated
11/07/2014
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