Healthcare Provider Details

I. General information

NPI: 1891204541
Provider Name (Legal Business Name): GARRETT DUANE KITT CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2017
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 E HERNDON AVE
FRESNO CA
93720-3309
US

IV. Provider business mailing address

925 E LELAND WAY
HANFORD CA
93230-1556
US

V. Phone/Fax

Practice location:
  • Phone: 559-450-3631
  • Fax:
Mailing address:
  • Phone: 559-553-2313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberNA95000781
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: