Individual
BARRY KITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2111 12 MILE RD NW, SPARTA, MI 49345-9754
(616) 391-8470
(616) 391-8495
Mailing address
2111 12 MILE RD NW, SPARTA, MI 49345-9754
(616) 391-8470
(616) 391-8495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008439
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4195563
—
MI
Enumeration date
06/13/2005
Last updated
05/25/2010
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