Individual
HANNAH E KITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
731 E MAIN ST, JACKSON, OH 45640-2100
(740) 577-3527
(740) 577-3009
Mailing address
731 E. MAIN STREET, SUITE 4, JACKSON, OH 45640
(740) 577-3527
(740) 577-3009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA. 12470-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000440450
OH MEDICAID UNISON
OH
05
—
0052071
—
OH
05
—
3810020980
—
WV
Enumeration date
08/01/2011
Last updated
06/13/2016
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