Individual
MRS. KELLY ANN BITEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
805 W 35TH ST STE 100, DAVENPORT, IA 52806-5807
(563) 468-2309
(563) 445-1604
Mailing address
117 W 12TH ST, COAL VALLEY, IL 61240-9106
(309) 558-8170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05268
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70340
WELLMARK BCBS
IA
Enumeration date
12/06/2006
Last updated
08/25/2010
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