Individual
TROY PATRICK KITTLESON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
GNP
Contact information
Practice address
3400 W 66TH ST, #290, BLOOMINGTON, MN 55435-2111
(952) 836-3637
Mailing address
10725 AQUILA AVE S, BLOOMINGTON, MN 55438-2226
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R1394980
MN
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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