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Individual

DR. KEVIN JAMES MCKITTRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
2720 FAIRVIEW AVE N STE 100, ROSEVILLE, MN 55113-1306
(651) 241-5290
Mailing address
2720 FAIRVIEW AVE N STE 100, ROSEVILLE, MN 55113-1306
(781) 420-6815

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY-60967347
103T00000X
Psychologist
LP6670
MN
103T00000X
Psychologist
PY.60967347
WA
103TC2200X
Clinical Child & Adolescent Psychologist
PY60967347
WA

Other

Enumeration date
09/13/2019
Last updated
11/21/2025
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