Individual
DR. VITO JIMMY CARABETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20670 WEST 151ST STREET, SUITE 101, OLATHE, KS 66061-7239
(913) 829-2525
(913) 829-1748
Mailing address
20670 WEST 151ST STREET, SUITE 101, OLATHE, KS 66061-7239
(913) 829-2525
(913) 829-1748
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
23314
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100104610D
—
KS
Enumeration date
09/08/2005
Last updated
11/16/2009
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