Healthcare Provider Details

I. General information

NPI: 1710091749
Provider Name (Legal Business Name): SEE-RUERN S KITT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 08/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 19TH STREET
BAKERSFIELD CA
93301
US

IV. Provider business mailing address

2222 19TH STREET
BAKERSFIELD CA
93301
US

V. Phone/Fax

Practice location:
  • Phone: 661-325-2448
  • Fax: 661-325-7425
Mailing address:
  • Phone: 661-325-2448
  • Fax: 661-325-7425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberC41262
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberC41262
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: