Individual
KEVIN RUSSELL TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74960
CT
207R00000X
Internal Medicine Physician
77219-20
WI
207R00000X
Internal Medicine Physician
8656-851
WI
Other
Enumeration date
06/09/2020
Last updated
06/22/2023
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