Kittle, Randall D

Kittle, Randall D is an individual health care provider with primary practice located at 4940 E State St Ste 2, Rockford IL 61108-2270. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kittle, Randall D can be contacted via phone (815) 397-5959.

Contact Information

Primary practice address
4940 E State St Ste 2 Rockford IL 61108-2270
Phone: (815) 397-5959
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Illinois

Profile Details

NPI number 1871763839
LBN Legal business name Kittle, Randall D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2008
Last updated Mar 6th, 2008 - about 16 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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