Individual
KEVIN MICHAEL HITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
15476 DEDEAUX RD STE B, GULFPORT, MS 39503-2637
(228) 230-2663
Mailing address
6300 E LAKE BLVD STE 301, VANCLEAVE, MS 39565-6771
(228) 230-2663
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA.255
AL
363A00000X
Physician Assistant
PA.255
AL
363A00000X
Physician Assistant
Primary
PA00945
MS
363A00000X
Physician Assistant
PA9108726
FL
363AM0700X
Medical Physician Assistant
PA225
AL
363AS0400X
Surgical Physician Assistant
PA225
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51181661
BCBS AL
AL
Enumeration date
08/10/2005
Last updated
10/01/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us