MICHAEL KITTOK


Address: 1274 Sherburne Ave, Saint Paul, MN 55104-2529
Phone: 5123515383

MICHAEL KITTOK (NPI# 1245876796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245876796
Entity Type Individual
Full Name MICHAEL KITTOK
Practice Address 1274 Sherburne Ave
Saint Paul
MN 55104-2529
Practice Telephone 5123515383
Enumeration Date 2019-11-19
Last Update Date 2019-11-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1274 SHERBURNE AVE
City SAINT PAUL
State MN
Zip Code 55104-2529

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NPI Name Taxonomy Address Enumeration
1891339131 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 2019-10-30
1629541644 Michael P Cain Counselor 1821 University Ave West, Suite N385, St. Paul, MN 55104 2019-01-03
1295219657 Awaken Recovery Center L.l.c Counselor 400 Suite D 393 North Dunlap, St Paul, MN 55104 2018-09-21
1285115634 American Current Care of Minnesota PC Clinic/Center 570 Asbury St Ste 101, Saint Paul, MN 55104 2018-08-23
1699262501 B & M Vital Homecare LLC. Home Health 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 2018-04-16
1134621600 Lauren Fullerton Counselor 1821 University Ave W., Suite N385, St. Paul, MN 55104 2018-03-01
1265944672 Megan Manning Marriage & Family Therapist 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 2017-10-26
1801305131 Foncham Buma Foncham Registered Nurse 856 University Avenue, W, St. Paul, MN 55104 2017-09-29
1750802476 Ha Vo Counselor 451 Lexington Parkway North, St. Paul, MN 55104 2017-07-03
1952831026 Noble Senior Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1094 University Ave W, Saint Paul, MN 55104 2017-06-12
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740895770 Arielle Johnson Student in an Organized Health Care Education/Training Program 1162 Thomas Ave, Saint Paul, MN 55104-2538 2020-09-15
1669094538 Jessie Mae Juenemann Student in an Organized Health Care Education/Training Program 1412 Taylor Ave W, Saint Paul, MN 55104-1329 2020-05-13
1043830896 Lorenzo Angelo Pavoloni Student in an Organized Health Care Education/Training Program 1970 Bohland Ave, Saint Paul, MN 55116-1909 2020-04-22
1396384418 Meagan Nicole Brockman Student in an Organized Health Care Education/Training Program 388 Snelling Ave S, Saint Paul, MN 55105-2142 2020-01-06
1386283000 Anna Boyd Student in an Organized Health Care Education/Training Program 808 Berry St Apt 481, Saint Paul, MN 55114-1380 2019-12-27
1811535362 Hanna Elizabeth Erickson Student in an Organized Health Care Education/Training Program 1514 Chelsea St, Saint Paul, MN 55108-2310 2019-12-16
1255977377 Kao Youa Lee Student in an Organized Health Care Education/Training Program 1692 Maryland Ave E, Saint Paul, MN 55106-2941 2019-11-24
1750944773 Terrell Messerly Student in an Organized Health Care Education/Training Program 750 Otto Ave Unit 2236, Saint Paul, MN 55102-5042 2019-04-16
1205397015 Taylor Christine Millikan Student in an Organized Health Care Education/Training Program 640 Jackson Street - Mail Stop 11109e, Saint Paul, MN 55101-2502 2019-03-26
1245794056 Terra Wiens Student in an Organized Health Care Education/Training Program 820 Emerald St Apt 105, Saint Paul, MN 55114-1442 2019-01-25
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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