Kittelson, Brian Dennis

Kittelson, Brian Dennis is an individual health care provider with primary practice located at 875 S Vanguard Way , Meridian ID 83642-7552. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Kittelson, Brian Dennis can be contacted via phone (208) 884-2922.

Contact Information

Primary practice address
875 S Vanguard Way Meridian ID 83642-7552
Phone: (208) 884-2922
Fax: (208) 884-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-958 Idaho

Profile Details

NPI number 1730234345
LBN Legal business name Kittelson, Brian Dennis
Credentials DNP, ARNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Mar 18th, 2021 - about 3 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 1730234345 NPPES
Idaho Other NP-958 STATE OF IDAHO BOARD OF NURSING

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