Individual
JOHN HARLAN KITTERMAN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
2675 PALO VERDE BLVD S, LAKE HAVASU CITY, AZ 86403-4919
(626) 484-9759
Mailing address
3735 TOTEM DR, LAKE HAVASU CITY, AZ 86406-7959
(626) 484-9759
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
05/13/2025
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