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NPI Code Detail

MEDICARE: MS. AMANDA MARY KITTO M.S.

MEDICARE: MS. AMANDA MARY KITTO M.S.
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
1101Y00000XCounselor101Y00000X

General Provider Information

NPI Number : 1326308156
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMANDA MARY KITTO M.S.
Provider Business Mailing Address
First Line : 3821 34TH AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33713-1330
Country : US
Telephone Number : 727-242-1775
Fax Number :
Provider Business Practice Location Address
First Line : 1001 16TH ST S
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33705-2231
Country : US
Telephone Number : 727-242-1775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2012
Last Update Date : 05/27/2012

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