Jeanie Marie Kittleson in Henderson - Surgical
Jeanie Marie Kittleson - NPI 1164559415
Jeanie Marie Kittleson is a Surgical in Henderson, Nevada. Jeanie Marie Kittleson practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jeanie Marie Kittleson is 1164559415. The last update date is 2021-08-31.
Jeanie Marie Kittleson's current location address is St Rose Dominican De Lima, Henderson, Nevada. You can contact this provider via phone number 7026164600 and fax number 7026164311. The mailing address for Jeanie Marie Kittleson is St Rose Dominican De Lima, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanie Marie Kittleson |
|---|---|
| Address | St Rose Dominican De Lima, Henderson, Nevada |
| Phone Number | 7026164600 |
| Fax Number | 7026164311 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1164559415 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2021-08-31 |
Provider Mailing Address Detail
| Address | St Rose Dominican De Lima |
|---|---|
| City | Henderson |
| State | Nevada (NV) |
| Post Code | 89015 |
| Phone Number | 7026164600 |
| Fax Number | 7026164311 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA833 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100503035 | NV | -- |
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What is the unique 10-digit identifier code issued to Jeanie Marie Kittleson by the Centers for Medicare & Medicaid Services?
The Jeanie Marie Kittleson has been assigned the NPI (National Provider Identifier) 1164559415 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jeanie Marie Kittleson is physically located?
The Jeanie Marie Kittleson is situated at the following address: St Rose Dominican De Lima, Henderson, NV 89015.
What is Jeanie Marie Kittleson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeanie Marie Kittleson is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did the Jeanie Marie Kittleson receive its 1164559415 assignment from the Centers for Medicare & Medicaid Services?
The Jeanie Marie Kittleson was assigned its 1164559415 by the Centers for Medicare & Medicaid Services on 2007-02-27.
When was the information regarding Jeanie Marie Kittleson most recently updated?
The details pertaining to the Jeanie Marie Kittleson, including its address, specialty, and other relevant information, were last refreshed on 2021-08-31.
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