Individual
MR. CHARLES KITE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11835 9W, WEST COXSACKIE, NY 12192-3605
(518) 731-9000
Mailing address
5 GREEN MEADOWS LN, LOUDONVILLE, NY 12211-1905
(518) 438-0359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019973-1
NY
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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