Individual
TERESA M. KITKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
774 CHRISTIANA ROAD, SUITE 202, NEWARK, DE 19713
(302) 366-7671
(302) 366-7549
Mailing address
774 CHRISTIANA ROAD, SUITE 202, DELAWARE NEUROSURGICAL GROUP, PA, NEWARK, DE 19713
(302) 366-7671
(302) 366-7549
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
C0001174
MD
363AS0400X
Surgical Physician Assistant
Primary
C5-0000127
DE
363AS0400X
Surgical Physician Assistant
C50000127
DE
Other
Enumeration date
09/22/2006
Last updated
08/13/2010
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