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COLE MICHAEL KITTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1510 OHIO ST, AUGUSTA, KS 67010-2189
(316) 775-5456
(316) 775-4108
Mailing address
208 S ONEWOOD DR, ANDOVER, KS 67002-8815
(316) 616-7957

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-107191
KS

Other

Enumeration date
08/17/2022
Last updated
08/17/2022
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