Individual
DR. BENJI KURT KITAGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 350-6244
Mailing address
1626 MONTVIEW BLVD, GREELEY, CO 80631-5345
(303) 956-1812
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30531
CO
Other
Enumeration date
09/04/2006
Last updated
03/14/2011
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