Individual
BRANT MONTGOMERY KITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9833 N ALPINE RD, MACHESNEY PARK, IL 61115-1681
(815) 639-3301
(815) 639-3301
Mailing address
9833 N ALPINE RD, MACHESNEY PARK, IL 61115-1681
(815) 639-3301
(815) 639-3301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051038787
IL
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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