Individual
DR. MICHAEL TIMOTHY KITTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11412 HURON LN, LITTLE ROCK, AR 72211
(501) 539-9100
(501) 204-6882
Mailing address
PO BOX 26867, LITTLE ROCK, AR 72221-6800
(501) 539-9100
(501) 204-6882
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-5801
AR
207Q00000X
Family Medicine Physician
Primary
E-5801
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177560001
—
AR
Enumeration date
10/16/2008
Last updated
03/03/2022
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