Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 001495 | NY |
NPI | 1134476492 |
---|---|
Provider Name | Jennifer Kittell |
First Address | Albany, NY 12201-1368 |
Second Address | Gansevoort, NY 12831-1599 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2012 |
Last Update Date | 26/04/2017 |