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Individual
MARTIN K KITTAKA
Active
Individual
MARTIN K KITTAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036068667
IL
207RN0300X
Nephrology Physician
Primary
036068667
IL
Other
Enumeration date
05/11/2006
Last updated
05/26/2021
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