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Individual

JANE OLDIGES KITTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
250 E LIBERTY ST, SUITE 1005, LOUISVILLE, KY 40202-1530
(502) 589-4448
(502) 589-1209
Mailing address
250 E LIBERTY ST, SUITE 1005, LOUISVILLE, KY 40202-1530
(502) 589-4448
(502) 589-1209

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
1066944
KY
363L00000X
Nurse Practitioner
Primary
6161P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000229673
ANTHEM BCBS
Enumeration date
01/18/2007
Last updated
12/10/2009
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