Provider Demographics
NPI:1497462683
Name:HOBBS, KITIA SNOW
Entity Type:Individual
Prefix:
First Name:KITIA
Middle Name:SNOW
Last Name:HOBBS
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 1:14801 S 108TH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NE
Mailing Address - Zip Code:68059-4925
Mailing Address - Country:US
Mailing Address - Phone:402-592-1300
Mailing Address - Fax:
Practice Address - Street 1:14801 S 108TH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NE
Practice Address - Zip Code:68059-4925
Practice Address - Country:US
Practice Address - Phone:402-592-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant