Individual provider · Type 1 NPI

Vaja Malia Kittle

Specialist · Lake Mary, FL

NPI number 1871864231 Active

Practice location

710 N Sun Dr
Lake Mary, FL 32746-2507

Call (407) 463-6488 Map

Mailing address

1019 Hornbeam St
Oviedo, FL 32765-6030

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPTA21748 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1871864231

Vaja Malia Kittle's National Provider Identifier is 1871864231, issued on Jan 17, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Mary, FL. The record was last updated on Jan 17, 2012.