KIM KITTLE (NPI# 1699848952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699848952 |
| Entity Type | Individual |
| Full Name | KIM KITTLE |
| Credential | CNP |
| Practice Address |
1750 S Telegraph Rd Suite 108 Bloomfield Hills MI 48302-0166 |
| Mailing Address |
461 W Huron St Department of Ob Gyn Pontiac MI 48341-1601 |
| Practice Telephone | 2483344505 |
| Practice Fax Number | 2483344517 |
| Mailing Telephone | 2488577316 |
| Mailing Fax Number | 2488576985 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
4704125426 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1750 S TELEGRAPH RD SUITE 108 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-0166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396735452 | Leslie D Grosinger | Ophthalmology | 1750 S Telegraph Rd, Suite 205, Bloomfield Hills, MI 48302-0166 | 2005-10-28 |
| 1114404423 | Joseph Patrick Coleman | Psychologist | 1750 S Telegraph Rd, Bloomfield Hills, MI 48302-0166 | 2018-07-20 |
| 1407399629 | Shakari D Harris | Social Worker | 1750 S Telegraph Rd, Suite 101, Bloomfield Hills, MI 48302-0166 | 2016-11-19 |
| 1619370509 | Megan E. Branstetter | Social Worker | 1750 S Telegraph Rd, Suite 101, Bloomfield Hills, MI 48302-0166 | 2014-10-06 |
| 1265788020 | Colleen Marie Damino | Psychologist | 1750 S Telegraph Rd, Suite 101, Bloomfield Hills, MI 48302-0166 | 2012-07-31 |
| 1194082131 | Mariko Kita Shelton | Obstetrics & Gynecology | 1750 S Telegraph Rd, Ste 108, Bloomfield Hills, MI 48302-0166 | 2012-04-16 |
| 1790071306 | Charles C. Chamberlain | Psychologist | 1750 S Telegraph Rd, Suite 101, Bloomfield Hills, MI 48302-0166 | 2011-06-22 |
| 1679709976 | Bloomfield Obgyn Specialists | Obstetrics & Gynecology | 1750 S Telegraph Rd, Suite 108, Bloomfield Hills, MI 48302-0166 | 2009-06-02 |
| 1083822852 | Paul Y. Gutterman, Md, PC | Clinic/Center | 1750 S Telegraph Rd, Suite 101, Bloomfield Hills, MI 48302-0166 | 2007-05-18 |
| 1194943209 | Ann Emilie-clare Smith | Psychologist | 1750 S Telegraph Rd, Suite 101, Bloomfield Hills, MI 48302-0166 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255607032 | Maureen M Westfall | Nurse Practitioner | 4200 Whitehall Dr Ste 330, Ann Arbor, MI 48105-9694 | 2012-03-27 |
| 1306121660 | Julie Sokolow | Nurse Practitioner | 317 S Drake Rd Ste B, Kalamazoo, MI 49009-1171 | 2011-10-19 |
| 1073835302 | Leah Foucart | Nurse Practitioner | 6920 Tamarack Ln, Holly, MI 48442-9157 | 2010-03-01 |
| 1265547749 | Karen J Pociluyko | Nurse Practitioner | 205 N Hintz Rd, Owosso, MI 48867-9019 | 2006-08-21 |
| 1790765139 | Kyoung Kelly Lee | Nurse Practitioner | 3300 West Centre Ave, Bronson Ob/gyn Associates, Portage, MI 49024 | 2006-01-20 |
| 1063924926 | Jennifer Ann Soper | Nurse Practitioner | 3300 W Centre Ave, Portage, MI 49024-4666 | 2017-11-01 |
| 1790206019 | Christy Lynn Klieman | Nurse Practitioner | 1701 South Boulevard, East, Suite 200, Rochester Hills, MI 48307 | 2017-06-28 |
| 1942613252 | Lorrie Lorraine Youngs | Nurse Practitioner | 2012 E Preston St, Mt Pleasant, MI 48858-8990 | 2014-06-04 |
| 1861814220 | Jeanna Mastracci | Nurse Practitioner | 44344 Dequindre Rd, Sterling Heights, MI 48314-1038 | 2014-01-19 |
| 1639517758 | Sarah Sharp | Nurse Practitioner | 8333 Felch St Ste 202, Zeeland, MI 49464-2609 | 2013-06-11 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.