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General NPI Number Information
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NPI Number | 1538440623
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Entity Type | Individual
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Provider Name | KELLY SUZANNE MCKITTRICK CNM, ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 05/17/2026
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Provider Practice Location Address
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Address Line | 902 7TH ST STE 101
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City | ANACORTES
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State | WA
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Zip | 98221-4104
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Country | US
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Telephone | 360-298-8044
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Fax | 216-930-5958
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Provider Business Mailing Address
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Address Line | 902 7TH ST STE 101
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City | ANACORTES
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State | WA
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Zip | 98221-4104
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Country | US
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Telephone | 360-298-8044
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Fax | 216-930-5958
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP60431476
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 60431476
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License Number State | WA
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