Provider Demographics
NPI:1609678150
Name:MCKITRIC, CANDICE
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:MCKITRIC
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10440 SPRINGRUN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-1949
Mailing Address - Country:US
Mailing Address - Phone:513-787-9830
Mailing Address - Fax:
Practice Address - Street 1:10440 SPRINGRUN DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1949
Practice Address - Country:US
Practice Address - Phone:513-787-9830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider