Provider Demographics
NPI:1215967641
Name:LINTON, KITTEN S (MD)
Entity type:Individual
Prefix:
First Name:KITTEN
Middle Name:S
Last Name:LINTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5865
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79408-5865
Mailing Address - Country:US
Mailing Address - Phone:806-743-2898
Mailing Address - Fax:806-743-2787
Practice Address - Street 1:3601 4TH ST
Practice Address - Street 2:MS 9901
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-0002
Practice Address - Country:US
Practice Address - Phone:806-743-2757
Practice Address - Fax:806-743-2563
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9704207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117918114OtherFIRSTCARE COMMERCIAL
OK100154170AMedicaid
TX117918113Medicaid
TX120399406Medicaid
NM28681321Medicaid
TX450686CB24405OtherSECTION 1011
TX120399407Medicaid
TX8S4266OtherBC/BS
TX87932ZOtherHMO BLUE
TX117918113Medicaid
TX8D8790Medicare ID - Type Unspecified