Provider Demographics
NPI:1982567244
Name:MONICA KITTRELL
Entity type:Organization
Organization Name:MONICA KITTRELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KITTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-841-7930
Mailing Address - Street 1:PO BOX 114
Mailing Address - Street 2:
Mailing Address - City:KILGORE
Mailing Address - State:NE
Mailing Address - Zip Code:69216-0114
Mailing Address - Country:US
Mailing Address - Phone:402-841-7930
Mailing Address - Fax:
Practice Address - Street 1:90229 RED ROCK RD
Practice Address - Street 2:
Practice Address - City:KILGORE
Practice Address - State:NE
Practice Address - Zip Code:69216-7525
Practice Address - Country:US
Practice Address - Phone:402-841-7930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty