Individual
DEBRA KITTILSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, NP
Contact information
Practice address
148 TERRY RD, SMITHTOWN, NY 11787-5102
(631) 862-4000
Mailing address
148 TERRY RD, SMITHTOWN, NY 11787-5102
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000914
NY
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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