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NPI Code Detail

MEDICARE: KITTERMAN ENTERPRISES INC.

MEDICARE: KITTERMAN ENTERPRISES INC.
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
1111N00000XChiropractor3745AZ

General Provider Information

NPI Number : 1346435039
Entity Type Code : Organization
Provider Name (Legal Business Name) : KITTERMAN ENTERPRISES INC.
Provider Business Mailing Address
First Line : 7761 N 19TH DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-6983
Country : US
Telephone Number : 602-293-7993
Fax Number :
Provider Business Practice Location Address
First Line : 7761 N 19TH DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-6983
Country : US
Telephone Number : 602-293-7993
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILLIAM THOMAS KITTERMAN
Credential : D.C.
Telephone Number : 602-293-7993
Provider Enumeration Date : 09/06/2007
Last Update Date : 09/06/2007

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Directions to “KITTERMAN ENTERPRISES INC. ” Practice Location

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