Provider Demographics
NPI:1932382223
Name:USS KITTY HAWK
Entity Type:Organization
Organization Name:USS KITTY HAWK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:BATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:0118146-816-6653
Mailing Address - Street 1:USS KITTY HAWK CV 63
Mailing Address - Street 2:MEDICAL
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96634-2770
Mailing Address - Country:JP
Mailing Address - Phone:0118146-816-6653
Mailing Address - Fax:
Practice Address - Street 1:USS KITTY HAWK CV 63
Practice Address - Street 2:MEDICAL
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96634-2770
Practice Address - Country:JP
Practice Address - Phone:0118146-816-6653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center