MEDICARE: SIMONE A MCKITTY M.D.

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	207N00000X	Dermatology Physician	C127807	CA

General Provider Information

NPI Number	:	1730280298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMONE A MCKITTY M.D.

Provider Business Mailing Address
First Line	:	3440 LOMITA BLVD
Second Line	:	STE 442
City	:	TORRANCE
State	:	CA
Zip	:	90505-4882
Country	:	US
Telephone Number	:	310-530-5451
Fax Number	:	310-530-3070

Provider Business Practice Location Address
First Line	:	4660 KENMORE AVE
Second Line	:	STE 500
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-1300
Country	:	US
Telephone Number	:	703-370-0073
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	02/05/2020

Similar Medicare Providers

1033145586 — DR. MUHAMMAD F KHOKHAR MD
Practice Location Address:

4660 KENMORE AVE STE 810
ALEXANDRIA, VA
22304-1300

Practice Phone: 703-823-0333
Practice Fax: 703-823-8611

1396707170 — DR. DAVID W GEHRING M.D.
Practice Location Address:

4660 KENMORE AVE STE 604
ALEXANDRIA, VA
22304-1300

Practice Phone: 703-823-8300
Practice Fax: 844-971-6981

1295822419 — CAPITAL DERMATOLOGY LTD
Practice Location Address:

4660 KENMORE AVE STE 500
ALEXANDRIA, VA
22304-1300

Practice Phone: 703-370-0073
Practice Fax: 703-370-2002

1336221761 — ROBERT J. HEINEN M.D.
Practice Location Address:

4660 KENMORE AVE STE 604
ALEXANDRIA, VA
22304-1300

Practice Phone: 703-751-6771
Practice Fax: 703-751-1437

1760564132 — A. DAVID BERNANKE M.D.
Practice Location Address:

4660 KENMORE AVE STE 604
ALEXANDRIA, VA
22304-1300

Practice Phone: 703-751-6582
Practice Fax: 703-751-1437

1508948944 — JOEL M. TEMME M.D.
Practice Location Address:

4660 KENMORE AVE STE 604
ALEXANDRIA, VA
22304-1300

Practice Phone: 703-823-8300
Practice Fax: 703-823-5532

Directions to “ SIMONE A MCKITTY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.