Individual
GLENDA FRANCES KITTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, COMPLIANCE MC 2433, MADISON, WI 53792-0001
(608) 662-0817
(608) 203-4544
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
716391
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
406-029
CERTIFIED DIETITIAN
NE
Enumeration date
01/19/2010
Last updated
10/28/2021
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