DR. MICHAEL TIMOTHY KITTELL


Address: 11412 Huron Ln, Little Rock, AR 72211
Phone: 5015399100

DR. MICHAEL TIMOTHY KITTELL (NPI# 1659523124) 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) 1659523124
Entity Type Individual
Full Name DR. MICHAEL TIMOTHY KITTELL
Credential M.D.
Practice Address 11412 Huron Ln
Little Rock
AR 72211
Mailing Address Po Box 26867
Little Rock
AR 72221-6800
Practice Telephone 5015399100
Practice Fax Number 5012046882
Mailing Telephone 5015399100
Mailing Fax Number 5012046882
Enumeration Date 2008-10-16
Last Update Date 2019-04-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine E-5801 AR Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine E-5801 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 177560001 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
11415 Executive Center Dr, Little Rock, AR 72211 5012245220 5012289828
11412 Huron Ln, Little Rock, AR 72211 5013660435

Office Location

Street Address 11412 HURON LN
City LITTLE ROCK
State AR
Zip Code 72211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427221704 James Cooper Keane Dermatology 11412 Huron Ln, Little Rock, AR 72211-1847 2008-04-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760004618 Samantha Lenore Hilborn Behavior Technician 1525 Merrill Drive Suite 100, Little Rock, AR 72211 2020-05-14
1003437740 Centers for Youth and Families, Inc. Community/Behavioral Health 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 2020-05-05
1962040568 Erica N Taylor Nurse Practitioner 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 2019-12-13
1568932119 Katie Jones Nurse Practitioner 1children's Way, Little Rock, AR 72211 2018-11-27
1356828651 Kayleigh King Dietitian, Registered 4 Shackleford Plz Ste 209, Little Rock, AR 72211 2018-07-19
1699283838 Kara Elizabeth Simmons Physician Assistant 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 2018-01-22
1194241463 Wendy Newsam Pllc Counselor 1 Innwood Circle, Suite 107, Little Rock, AR 72211 2017-08-18
1861915159 Sarah Renee Beall Counselor 10800 Financial Centre #290, Little Rock, AR 72211 2017-07-19
1457873127 Restore Hope Counseling Center, Pllc Counselor One Innwood Circle, Suite 201, Little Rock, AR 72211 2017-07-13
1447707500 University of Arkansas for Medical Sciences Durable Medical Equipment & Medical Supplies 601 Autumn Road, Little Rock, AR 72211 2016-09-07
Find all providers in zip 72211

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932707650 Relymd Medical Group Ar, Pllc Family Medicine 1215 Twin Lakes Dr, Little Rock, AR 72205-6768 2020-10-14
1831709997 Wound Integrity Arkansas Pa Family Medicine 10000 N Rodney Parham Rd, Little Rock, AR 72227-5548 2020-08-04
1235762816 Cynthia Johnson Family Medicine 14201 Kanis Rd Apt 418, Little Rock, AR 72223-4952 2020-02-21
1801246129 John Freeland Jayroe Family Medicine 701 N University Ave Ste 100, Little Rock, AR 72205-2936 2016-06-17
1992154462 Arkansas Health Group Family Medicine 401 W Capitol Ave Ste 101b, Little Rock, AR 72201-3421 2016-06-06
1669867099 John Allen Cockerell Family Medicine 5423 L St, Little Rock, AR 72205-1726 2015-04-02
1831593896 James William Takach Family Medicine 14519 Wimbledon Loop, Little Rock, AR 72210 2014-10-20
1790198133 Muhammad Yusuf Family Medicine 4216 Bowman Rd Apt D6, Little Rock, AR 72210-2383 2014-06-03
1598184103 Stephen A Humbard Md Pa Family Medicine 28 Rahling Cir Ste 2, Little Rock, AR 72223-9187 2014-04-10
1215360144 George Franklin Holitik Family Medicine 4617 Stonewall Rd, Little Rock, AR 72207-2053 2013-08-14
Find all providers in LITTLE ROCK

Competitor

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City LITTLE ROCK
Zip Code 72211

Improve Information

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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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