Kittredge, Ben W

Kittredge, Ben W is an individual health care provider with primary practice located at 6355 Walker Lane Suite 202, Alexandria VA 22310-3257. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kittredge, Ben W can be contacted via phone (703) 810-5210.

Contact Information

Primary practice address
6355 Walker Lane Suite 202 Alexandria VA 22310-3257
Phone: (703) 810-5210
Fax: (703) 810-5418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101055642 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D51741 Maryland
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X D51741 Maryland

Profile Details

NPI number 1134147978
LBN Legal business name Kittredge, Ben W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 7th, 2023 - about last year

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 1134147978 NPPES
Maryland Other M77089 CONTROLLED SUBSTANCE LICENSE
Maryland MEDICAID 6408028 CONTROLLED SUBSTANCE LICENSE
Maryland Other D51741 CONTROLLED SUBSTANCE LICENSE

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