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Individual
BRUCE HOWARD KITTRICK
Active
Individual
BRUCE HOWARD KITTRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G66403
CA
208M00000X
Hospitalist Physician
Primary
G66403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110158746
RAILROAD MEDICARE NUMBER
CA
01
—
G664030
MEDICAL LICENSE
CA
Enumeration date
08/04/2006
Last updated
10/26/2021
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