Individual
AMANDA J KITTELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5257 27TH ST S STE 201, FARGO, ND 58104-7782
(701) 356-5503
(701) 364-9781
Mailing address
5257 27TH ST S STE 201, FARGO, ND 58104-7782
(701) 356-5503
(701) 364-9781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1073
ND
363A00000X
Physician Assistant
11131
MN
Other
Enumeration date
06/14/2010
Last updated
04/28/2026
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