Provider Demographics
NPI:1568741874
Name:LITTAU, KIMBERLEE K (CD, (DONA))
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLEE
Middle Name:K
Last Name:LITTAU
Suffix:
Gender:F
Credentials:CD, (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2564 CAMELOT COURT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-1726
Mailing Address - Country:US
Mailing Address - Phone:719-321-0247
Mailing Address - Fax:
Practice Address - Street 1:2564 CAMELOT COURT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-1726
Practice Address - Country:US
Practice Address - Phone:719-321-0247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20-8134560374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula