| Antoinette Kitch, DO | |
|
3336 S 4155 W, Ste 301, West Valley City, UT 84120 | |
| (801) 964-3865 | |
| (801) 964-3894 |
| Full Name | Antoinette Kitch |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 7 Years |
| Location | 3336 S 4155 W, West Valley City, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033678800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036.161097 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 14249440-1204 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Antoinette Kitch, DO Po Box 800022, Kansas City, MO 64180-0022 Ph: (800) 953-0104 | Antoinette Kitch, DO 3336 S 4155 W, Ste 301, West Valley City, UT 84120 Ph: (801) 964-3865 |
David B Isaac, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 | |
Maria Alejandra Gonzalez Ferrua, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3336 S Pioneer Pkwy Ste 301, West Valley City, UT 84120 Phone: 801-964-3865 | |
Stephen D Lash, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3336 S 4155 W, Ste 301, West Valley City, UT 84120 Phone: 801-964-3865 | |
Steven C Dinger, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 |