Individual
KITTY M VAN METER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
138 E BROAD ST, CAMILLA, GA 31730-1809
(229) 351-4125
(229) 351-4106
Mailing address
138 E BROAD ST, CAMILLA, GA 31730-1809
(229) 351-4125
(229) 351-4106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN159427
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488875690A
—
GA
05
—
488875690B
—
GA
Enumeration date
07/16/2007
Last updated
05/23/2022
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