Healthcare Provider Details

I. General information

NPI: 1538084744
Provider Name (Legal Business Name): BREEZ KITIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BREEZ ANDES RN

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 MING AVE STE 410
BAKERSFIELD CA
93309-4631
US

IV. Provider business mailing address

140 SW 8TH ST
BLUE SPRINGS MO
64015-3708
US

V. Phone/Fax

Practice location:
  • Phone: 661-622-4132
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: