Kittleson, Randy

Kittleson, Randy is an individual health care provider with primary practice located at 20 S Park St , Madison WI 53715-1348. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kittleson, Randy can be contacted via phone (608) 287-2037.

Contact Information

Primary practice address
20 S Park St Madison WI 53715-1348
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 764 Wisconsin

Profile Details

NPI number 1578539581
LBN Legal business name Kittleson, Randy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Feb 11th, 2021 - about 4 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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