Individual
KAITLIN WITTLER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-3990
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-3990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021039807
MO
208000000X
Pediatrics Physician
2021039807
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/05/2017
Last updated
10/28/2021
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