Kittelberger, Keith Paul

Kittelberger, Keith Paul is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607-7505. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kittelberger, Keith Paul can be contacted via phone (919) 784-3034.

Contact Information

Primary practice address
4420 Lake Boone Trl Raleigh NC 27607-7505
Phone: (919) 784-3034
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 9300189 North Carolina
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 9300189 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 9300189 North Carolina

Profile Details

NPI number 1669583415
LBN Legal business name Kittelberger, Keith Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 11th, 2007 - 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 1669583415 NPPES
North Carolina Other 57299 MEDCOST
North Carolina Other 132EV MEDCOST
North Carolina Other 25212 MEDCOST
North Carolina Other 6736408 MEDCOST
North Carolina MEDICAID 89132EV MEDCOST

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