Individual
DR. KITSON TEVIN MITCHELL JR DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3437
(252) 399-8040
Mailing address
1705 TARBORO ST SW, WILSON, NC 27893-3437
(252) 399-8040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025-00834
NC
207RG0100X
Gastroenterology Physician
Primary
2025-00834
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2019
Last updated
02/11/2026
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