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Individual

MRS. KIMBERLY MICHELLE WITTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP CS BC

Contact information

Practice address
519 LICKING PIKE, WILDER, KY 41071
(859) 572-0400
(859) 442-3363
Mailing address
519 LICKING PIKE, WILDER, KY 41071
(859) 572-0400
(859) 442-3363

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3002275
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN 1070352
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78001930
KY
Enumeration date
02/09/2007
Last updated
10/10/2023
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