Provider Demographics
NPI:1275321523
Name:KITTERER, CAROLYN ANN
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:ANN
Last Name:KITTERER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:ANN
Other - Last Name:NUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4710 SOUTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-1353
Mailing Address - Country:US
Mailing Address - Phone:308-224-5208
Mailing Address - Fax:
Practice Address - Street 1:985 S 27TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-3151
Practice Address - Country:US
Practice Address - Phone:402-975-2380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide