Individual
JASON KITTREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 POINT FOSDICK DR STE 102, GIG HARBOR, WA 98335-1706
(253) 853-2050
(253) 852-2711
Mailing address
4700 POINT FOSDICK DR STE 102, GIG HARBOR, WA 98335-1706
(253) 853-2050
(253) 852-2711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52855
KY
207Q00000X
Family Medicine Physician
Primary
MD61026142
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2162974
—
WA
Enumeration date
03/30/2016
Last updated
10/26/2020
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