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Individual

KIRK KRITNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-8053
(719) 587-1372
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-2511
(719) 587-1372

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
866
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20178875
CO
01
COW52119
ANTHEM BC/BS
CO
Enumeration date
10/21/2005
Last updated
05/01/2012
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