Provider Demographics
NPI:1326642257
Name:FITE, KAITLYN E
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:E
Last Name:FITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3098 LUCAS RD
Mailing Address - Street 2:
Mailing Address - City:HAMERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45130-8452
Mailing Address - Country:US
Mailing Address - Phone:513-667-4660
Mailing Address - Fax:
Practice Address - Street 1:3098 LUCAS RD
Practice Address - Street 2:
Practice Address - City:HAMERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45130-8452
Practice Address - Country:US
Practice Address - Phone:513-667-4660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No251E00000XAgenciesHome Health