Organization
DR. GARY C. KITTO AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY C KITTO PH D M.S (CLINICAL DIRECTOR)
(660) 826-7909
Entity
Organization
Contact information
Practice address
100 S LIMIT AVE, SEDALIA, MO 65301-3655
(660) 826-7909
(660) 826-6737
Mailing address
100 S LIMIT AVE, SEDALIA, MO 65301-3655
(660) 826-7909
(660) 826-6737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22580011
BLUE CROSS / BLUE SHIELD
MO
Enumeration date
06/01/2005
Last updated
08/22/2020
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