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General NPI Number Information
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NPI Number | 1437290822
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Entity Type | Individual
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Provider Name | KIMBERLY MICHELLE WITTE ARNP CS BC
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Gender | Female
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 519 LICKING PIKE
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City | WILDER
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State | KY
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Zip | 41071
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Country | US
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Telephone | 859-572-0400
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Fax | 859-442-3363
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Provider Business Mailing Address
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Address Line | 519 LICKING PIKE
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City | WILDER
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State | KY
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Zip | 41071
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Country | US
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Telephone | 859-572-0400
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Fax | 859-442-3363
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN 1070352
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3002275
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License Number State | KY
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