John W Kitzmiller in Lake Orion - Clinical
John W Kitzmiller - NPI 1811988504
John W Kitzmiller is a Clinical in Lake Orion, Michigan. John W Kitzmiller practices all healthcare services and medical treatments related to Clinical. The NPI Number for John W Kitzmiller is 1811988504. The last update date is 2019-03-28.
John W Kitzmiller's current location address is 1375 S Lapeer Rd Ste 203, Lake Orion, Michigan. You can contact this provider via phone number 2486934000 and fax number 2486934661. The mailing address for John W Kitzmiller is 1375 S Lapeer Rd Ste 203, Lake Orion, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John W Kitzmiller |
|---|---|
| Address | 1375 S Lapeer Rd Ste 203, Lake Orion, Michigan |
| Phone Number | 2486934000 |
| Fax Number | 2486934661 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811988504 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2019-03-28 |
Provider Mailing Address Detail
| Address | 1375 S Lapeer Rd Ste 203 |
|---|---|
| City | Lake Orion |
| State | Michigan (MI) |
| Post Code | 483601421 |
| Phone Number | 2486934000 |
| Fax Number | 2486934661 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301014619 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 606301871 | BCBS | ||
| 101521316 | MI | -- | |
| 1720134943 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to John W Kitzmiller?
The John W Kitzmiller has been issued the NPI (National Provider Identifier) 1811988504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where John W Kitzmiller is geographically located?
The John W Kitzmiller is physically situated at the following location: 1375 S Lapeer Rd Ste 203, Lake Orion, MI, 483601421.
What is the John W Kitzmiller's specialty and taxonomy code?
The John W Kitzmiller's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the John W Kitzmiller receive its 1811988504 assignment from the Centers for Medicare & Medicaid Services?
The John W Kitzmiller was assigned its 1811988504 by the Centers for Medicare & Medicaid Services on 2005-11-02.
When was the John W Kitzmiller's information last updated?
The John W Kitzmiller's information was last updated on 2019-03-28.