MEDICARE: KITTS & KITTS PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1700432390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KITTS & KITTS PLLC

Provider Business Mailing Address
First Line	:	13715 NE BEL RED RD
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-4570
Country	:	US
Telephone Number	:	425-643-2818
Fax Number	:

Provider Business Practice Location Address
First Line	:	13715 NE BEL RED RD
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-4570
Country	:	US
Telephone Number	:	425-643-2818
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN T KITTS
Credential	:	DDS
Telephone Number	:	509-654-3697

Provider Enumeration Date	:	08/10/2019
Last Update Date	:	08/10/2019

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