Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD NEAL KITTELSON, ABOC
Active Sole ProprietorRICHARD NEAL KITTELSON, ABOC is a Optician, Dispensing healthcare provider located in DETROIT LAKES, Minnesota. NPI 1790942332 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1790942332
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2008 (18.250580012282 yrs)
- Last Updated
- Mar 7, 2012
- License
-
03590 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
918 WASHINGTON AVEDETROIT LAKES, MN, 565013402Browse MN providers · Browse ZIP 56501
- Phone
- 2188478021
- Fax
- 2188469552
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.