Individual
JOHN L KITTREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3740 EDISON LAKES PKWY, MISHAWAKA, IN 46545-3474
(574) 252-4150
(574) 252-4159
Mailing address
3740 EDISON LAKES PKWY, MISHAWAKA, IN 46545-3474
(574) 252-4150
(574) 252-4159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001621
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2551100140
BC/BS OF MICHIGAN
MI
Enumeration date
07/12/2006
Last updated
11/05/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us