Individual
DR. KYLE STEVEN KITTLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
601 STADIUM MALL DR FL 2, WEST LAFAYETTE, IN 47907-2052
(765) 494-6995
Mailing address
817 S 12TH ST, LAFAYETTE, IN 47905-1415
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20042637A
IN
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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