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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JEANIE MARIE KITTLESON, PA-C

Active Sole Proprietor

MS. JEANIE MARIE KITTLESON, PA-C is a Physician Assistant healthcare provider located in HENDERSON, Nevada. NPI 1164559415 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · HENDERSON, NV

Registration Details

NPI Number
1164559415
Provider Type
Individual
Gender
Female
NPI Issued
Feb 27, 2007 (19.506907615705 yrs)
Last Updated
Aug 31, 2021
Licenses
PA833 (NV)
PA9114559 (FL)
PA833 (NV)
PA833 (NV)
Sole Proprietor
Yes

Practice Information

Address
ST ROSE DOMINICAN DE LIMA
102 E LAKE MEAD PKWY
HENDERSON, NV, 89015
Browse NV providers · Browse ZIP 89015
Phone
7026164600
Fax
7026164311
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in HENDERSON, NV

Name Credential NPI
JULIE S BRAUN PA 1396745873
DOROTHY ELLA STONE PA-C 1083616445
SHANNON SIGNORINO PA C 1396737235
PAUL A MORGAN PAC 1871571018
RICHARD DICARLO 1831167691
MR. TERRY ALLEN ROBICHAUD PA-C 1881644771
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.