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Individual

KITTA KOUSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
538 MAIN STREET, PAINTSVILLE, KY 41240
(606) 226-6667
(606) 789-3811
Mailing address
P.O. BOX #336, PAINTSVILLE, KY 41240
(606) 226-6667
(606) 789-6202

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39229
KY
207R00000X
Internal Medicine Physician
Primary
39229
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64113913
KY
Enumeration date
06/14/2006
Last updated
01/10/2025
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