MEDICARE: KIT SITTERLEY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	DO2026-0058	NM

General Provider Information

NPI Number	:	1174226534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIT SITTERLEY DO

Provider Business Mailing Address
First Line	:	1100 CENTRAL AVE SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4930
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 CENTRAL AVE SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4930
Country	:	US
Telephone Number	:	505-841-1234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2023
Last Update Date	:	06/23/2026

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Directions to “ KIT SITTERLEY DO” Practice Location

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