Dittus, Kim Lynnette

Dittus, Kim Lynnette is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-1742. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is her primary health care specialty. Dittus, Kim Lynnette can be contacted via phone (608) 265-1700.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-1742
Phone: (608) 265-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 83937-20 Wisconsin
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 060-0003262 Vermont
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 83937-20 Wisconsin
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 83937-20 Wisconsin

Profile Details

NPI number 1154538262
LBN Legal business name Dittus, Kim Lynnette
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jun 24th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154538262 NPPES
Vermont Other 60600003262 PHYSICIAN LIMITED TEMP LI

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