Individual
KYLIE DAWN KITZMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
121 IOWA ST, KLAMATH FALLS, OR 97601-1606
(541) 883-1030
Mailing address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
(541) 883-2392
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
OR
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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