Provider Demographics
NPI:1558588681
Name:KITE, DANIEL PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:PAUL
Last Name:KITE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2912 RED BIRD LN
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-2622
Mailing Address - Country:US
Mailing Address - Phone:817-201-0700
Mailing Address - Fax:405-378-2196
Practice Address - Street 1:26 SW 104TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-9040
Practice Address - Country:US
Practice Address - Phone:405-378-2197
Practice Address - Fax:405-378-2196
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5798207Q00000X, 207P00000X
OK4605207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine