Individual
GREGORY AMANDA KITTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 11TH AVE S STE 155, NAMPA, ID 83651-3918
(208) 466-1077
(208) 467-2201
Mailing address
101 11TH AVE S STE 155, NAMPA, ID 83651-3918
(208) 466-1077
(208) 467-2201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ID
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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