Individual
ELLEN L KITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1305 NATIONAL RD, WHEELING, WV 26003-5705
(304) 242-1390
(304) 243-5880
Mailing address
1305 NATIONAL RD, WHEELING, WV 26003-5705
(304) 242-1390
(304) 243-5880
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
13871
WV
208100000X
Physical Medicine & Rehabilitation Physician
35045295
OH
2081P0010X
Pediatric Rehabilitation Medicine Physician
13871
WV
2081P0010X
Pediatric Rehabilitation Medicine Physician
35045295
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112892000
—
WV
05
—
0435318
—
OH
Enumeration date
06/21/2005
Last updated
08/14/2015
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