1285071464 NPI number — MS. TONIA M KITCHEL ED.S., IPE

Table of content: MS. TONIA M KITCHEL ED.S., IPE (NPI 1285071464)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285071464 NPI number — MS. TONIA M KITCHEL ED.S., IPE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KITCHEL
Provider First Name:
TONIA
Provider Middle Name:
M
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
ED.S., IPE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285071464
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
751 E PORTER AVE STE 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORTER
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46304-9111
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
219-786-1582
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
751 E PORTER AVE STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTER
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46304-9111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-786-1582
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/29/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TM1800X , with the licence number:  1307271 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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