Provider Demographics
NPI:1336387794
Name:WITTMEIER, KATHRYN
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:WITTMEIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 RICO ST
Mailing Address - Street 2:APARTMENT A
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93907-2129
Mailing Address - Country:US
Mailing Address - Phone:951-318-3089
Mailing Address - Fax:
Practice Address - Street 1:444 RICO ST
Practice Address - Street 2:APARTMENT A
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93907-2129
Practice Address - Country:US
Practice Address - Phone:951-318-3089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2009-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator