DR. JEFFREY ELLIOTT KITTLE M.D. NPI 1477559888

NPI Information

  • NPI: 1477559888
  • Provider Name: DR. JEFFREY ELLIOTT KITTLE, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 148 PARKDALE AVE
    MANISTEE, MI
    ZIP 49660
  • Phone: (231) 723-1190

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NPI Details

DR. Jeffrey Elliott Kittle, M.D. is a family medicine in Manistee, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jeffrey Elliott Kittle, M.D. NPI is 1477559888. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

148 PARKDALE AVE
MANISTEE, MI
ZIP 49660-128
Phone: (231) 723-1190
Fax: (231) 723-1467

The enumeration date for this NPI number is 6/22/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301054168MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10N65090MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2F10097MEDICARE UPINMICHIGAN
34473731MEDICAIDMICHIGAN
40805100161OTHERMICHIGANBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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