Individual
MARIKO KITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00038579
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039590
LABOR & INDUSTRY
WA
01
—
130022126
RAILROAD MEDICARE
—
01
—
4344KI
BLUE SHIELD
WA
05
—
8255994
—
WA
01
—
MD6217W
ALASKA MEDICAID
WA
01
—
US2322528
AETNA/USHC SPECIALIST
WA
Enumeration date
07/26/2006
Last updated
11/20/2018
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