Individual
DR. PAUL E. KITTLE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
309 S 2ND ST, LEAVENWORTH, KS 66048-2803
(913) 651-9800
(913) 651-8559
Mailing address
309 S 2ND ST, LEAVENWORTH, KS 66048-2803
(913) 651-9800
(913) 651-8559
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
2004025887
MO
1223P0221X
Pediatric Dentistry
4721
NE
1223P0221X
Pediatric Dentistry
Primary
6806
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10022579B
—
KS
05
—
1005786
—
KS
Enumeration date
11/21/2005
Last updated
07/09/2007
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