Kittrell, Andrea E.P.

Kittrell, Andrea E.P. is an sole proprietor health care provider with primary practice located at 3029 Old Forest Rd , Lynchburg VA 24501-2341. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Kittrell, Andrea E.P. can be contacted via phone (434) 455-7999.

Contact Information

Primary practice address
3029 Old Forest Rd Lynchburg VA 24501-2341
Fax: (434) 455-7997
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101222062 Virginia

Profile Details

NPI number 1972500270
LBN Legal business name Kittrell, Andrea E.P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Oct 12th, 2021 - about 4 years 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 1972500270 NPPES
Virginia Other 174845 SOUTHERN HEALTH
Virginia MEDICAID 006502334 SOUTHERN HEALTH
Virginia Other 337490 SOUTHERN HEALTH
Virginia Other 541250449 SOUTHERN HEALTH

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