Individual
DR. CHAD MATTHEW KITTLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
920 E 1ST ST, SUITE 301, DULUTH, MN 55805-2201
(218) 279-6279
(218) 279-6280
Mailing address
920 E 1ST ST, SUITE 301, DULUTH, MN 55805-2201
(218) 279-6279
(218) 279-6280
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08224
MEDICARE ID/CLINIC NUMBER
MN
Enumeration date
08/03/2012
Last updated
01/20/2021
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