Individual
BO MICHAEL KITRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4077 FIFTH AVE # MER-35, SAN DIEGO, CA 92103-2105
(619) 260-7220
Mailing address
16 WOODBINE LN, DANVILLE, PA 17821-8029
(570) 271-8050
(570) 271-5940
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MT233830
PA
Other
Enumeration date
03/29/2024
Last updated
07/14/2025
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