Individual
ANDREA KAY KITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 DOUGLAS DR, TRAVERSE CITY, MI 49696-8980
(231) 668-4909
Mailing address
5928 CHERRY BLOSSOM DR, TRAVERSE CITY, MI 49685-5058
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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