Provider Demographics
NPI:1760628093
Name:WITTE, KEVIN ANDREW (DO)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:ANDREW
Last Name:WITTE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:2790 CLAY EDWARDS DRIVE
Mailing Address - Street 2:STE 650
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3279
Mailing Address - Country:US
Mailing Address - Phone:816-459-7500
Mailing Address - Fax:816-459-9611
Practice Address - Street 1:203 NW R.D. MIZE RD
Practice Address - Street 2:STE 250
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-2518
Practice Address - Country:US
Practice Address - Phone:816-220-8727
Practice Address - Fax:816-220-8269
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2013-09-26
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Provider Licenses
StateLicense IDTaxonomies
MO2008019348207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery