MEDICARE: DR. ROBERT A KITEI MD

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	207W00000X	Ophthalmology Physician	MD049085L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093777088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT A KITEI MD

Provider Business Mailing Address
First Line	:	800 EATON AVENUE
Second Line	:	SUITE 101
City	:	BETHLEHEM
State	:	PA
Zip	:	18018
Country	:	US
Telephone Number	:	610-691-3335
Fax Number	:	610-974-9950

Provider Business Practice Location Address
First Line	:	1530 8TH AVE
Second Line	:	SUITE 102
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-1883
Country	:	US
Telephone Number	:	610-691-3335
Fax Number	:	610-974-9950

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	08/04/2017

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