Individual
DR. KWAME KITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1894 WALTON AVE, BRONX, NY 10453-6018
(718) 583-3060
Mailing address
1894 WALTON AVE, BRONX, NY 10453-6018
(718) 583-3060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
188730
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01367959
—
NY
Enumeration date
07/29/2005
Last updated
12/01/2014
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