# DR. WESTON RILEY KITLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063940088
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01087140A | IN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 11019306A | IN | — |

## Other

- **Enumeration date:** 06/03/2017
- **Last updated:** 01/19/2024