Kitzes, David L

Kitzes, David L is an individual health care provider with primary practice located at 1165 North Main Street Suite 200, Providence RI 02904-5740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Kitzes, David L can be contacted via phone (401) 331-8877.

Contact Information

Primary practice address
1165 North Main Street Suite 200 Providence RI 02904-5740
Phone: (401) 331-8877
Fax: (401) 331-9649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X L4216 Rhode Island

Profile Details

NPI number 1285693051
LBN Legal business name Kitzes, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Mar 27th, 2012 - about 13 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 1285693051 NPPES
Rhode Island MEDICAID DK655571

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