Provider Demographics
NPI:1588873418
Name:KITE, PATRICIA MAE (LPN)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MAE
Last Name:KITE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 DUAL HWY
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-6604
Mailing Address - Country:US
Mailing Address - Phone:301-991-0423
Mailing Address - Fax:
Practice Address - Street 1:1926 DUAL HWY
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6604
Practice Address - Country:US
Practice Address - Phone:301-991-0423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLP18784164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse