Kitson, Jennifer S.

Kitson, Jennifer S. is an sole proprietor health care provider with primary practice located at 764 Crestview Dr , Reedsburg WI 53959-2581. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kitson, Jennifer S. can be contacted via phone (608) 524-4213.

Contact Information

Primary practice address
764 Crestview Dr Reedsburg WI 53959-2581
Phone: (608) 524-4213
Fax: (608) 524-0743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3386-015 Wisconsin

Profile Details

NPI number 1982763140
LBN Legal business name Kitson, Jennifer S.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Sep 25th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982763140 NPPES
Wisconsin MEDICAID 33468700

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