Individual
DR. CHARLES AARON KITLEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., B.S.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-2028
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2182
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
2007023402
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD 60415377
WA
Other
Enumeration date
04/07/2008
Last updated
09/02/2022
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