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Individual

BRUCE HOWARD KITTRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
SHASTA REGIONAL MEDICAL CENTER, 1000 BUTTE ST, REDDING, CA 96001
(530) 244-5400
(530) 243-5965
Mailing address
PO BOX 993456, REDDING, CA 96099
(530) 244-3155
(530) 243-5965

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G66403
CA
208M00000X
Hospitalist Physician
Primary
G66403
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110158746
RAILROAD MEDICARE NUMBER
CA
01
G664030
MEDICAL LICENSE
CA
Enumeration date
08/04/2006
Last updated
10/26/2021
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