Provider Demographics
NPI:1740370097
Name:RITTMAN, KYMBERLY D (DO)
Entity type:Individual
Prefix:DR
First Name:KYMBERLY
Middle Name:D
Last Name:RITTMAN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:621 FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-1737
Mailing Address - Country:US
Mailing Address - Phone:850-265-3606
Mailing Address - Fax:850-271-0400
Practice Address - Street 1:621 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LYNN HAVEN
Practice Address - State:FL
Practice Address - Zip Code:32444-1737
Practice Address - Country:US
Practice Address - Phone:850-265-3606
Practice Address - Fax:850-271-0400
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2014-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL0S10197207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1454COtherBCBS
FLG18000Medicare UPIN