MEDICARE: MS. ASHLEIGH KITTEL DNP, APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	11005402	FL
2	363LF0000X	Family Nurse Practitioner	APRN11005402	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NONE	OTHER		NONE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750906855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ASHLEIGH KITTEL DNP, APRN, FNP-C

Provider Business Mailing Address
First Line	:	601 E ROLLINS ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-1248
Country	:	US
Telephone Number	:	407-975-0412
Fax Number	:

Provider Business Practice Location Address
First Line	:	646 W SMITH ST UNIT 506
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5383
Country	:	US
Telephone Number	:	321-266-5622
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2020
Last Update Date	:	01/11/2023

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