Individual
BRETT LOUIS KITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 ASSUMPTION DR, WALLA WALLA, WA 99362-2608
(509) 540-2809
Mailing address
195 ASSUMPTION DR, WALLA WALLA, WA 99362-2608
(509) 540-2809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60155152
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E15709
IDAHO STATE BOARD OF PHARMACY
ID
01
—
IR60155152
WASHINGTON STATE BOARD OF PHARMACY
WA
Enumeration date
04/20/2012
Last updated
04/20/2012
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