Individual
MRS. ANDREA KAYLEEN WITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
11187 HEFNER RD, KINGSTON, OH 45644-9628
(740) 253-1651
Mailing address
11187 HEFNER RD, KINGSTON, OH 45644-9628
(740) 253-1651
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 118840
OH
Other
Enumeration date
10/28/2008
Last updated
06/23/2016
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