Provider Demographics
NPI:1891084885
Name:MAPPIN, KITA GAIL (RPH)
Entity Type:Individual
Prefix:
First Name:KITA
Middle Name:GAIL
Last Name:MAPPIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3930 CLARKSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37218-1910
Mailing Address - Country:US
Mailing Address - Phone:615-876-2024
Mailing Address - Fax:615-876-6743
Practice Address - Street 1:3930 CLARKSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37218-1910
Practice Address - Country:US
Practice Address - Phone:615-876-2024
Practice Address - Fax:615-876-6743
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8945183500000X
AL12516183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist