Individual
JOAN LEE KITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 955-7171
Mailing address
750 8TH ST, MANSON, IA 50563-8010
(712) 469-3472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-106534
IA
363LP2300X
Primary Care Nurse Practitioner
A106534
IA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
G106534
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
01
—
07466
WELLMARK BC/BS
IA
Enumeration date
07/12/2006
Last updated
04/10/2022
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