Provider Demographics
NPI:1427268192
Name:MCKITTY, NADIA JONELLE (MD)
Entity type:Individual
Prefix:DR
First Name:NADIA
Middle Name:JONELLE
Last Name:MCKITTY
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 1:217 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-5725
Mailing Address - Country:US
Mailing Address - Phone:256-237-1535
Mailing Address - Fax:
Practice Address - Street 1:217 E 7TH ST
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-5725
Practice Address - Country:US
Practice Address - Phone:256-237-1535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57011418207Q00000X
AL29755207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine