Individual
DR. JENA LOUISE KITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12049 S STRANG LINE RD, OLATHE, KS 66062-5256
(913) 768-4455
(913) 393-3729
Mailing address
12049 S STRANG LINE RD, OLATHE, KS 66062-5256
(913) 768-4455
(913) 393-3729
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04987
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36098018
BCBS GROUP BILLING #
KS
01
—
36135016
BCBS PROVIDER #
KS
01
—
P002997828
RAILROAD MEDICARE
KS
Enumeration date
09/27/2006
Last updated
12/28/2007
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