Individual
ANDREW KITTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
501 MAJESTIC CV, BOSSIER CITY, LA 71111-8207
(318) 218-2572
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP07826
LA
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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