Provider Demographics
NPI:1033554985
Name:KITTSON, RONALD G (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:G
Last Name:KITTSON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:1201 CAMINO DE SALUD NE
Mailing Address - Street 2:SUITE 4400
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-4517
Mailing Address - Country:US
Mailing Address - Phone:505-925-0123
Mailing Address - Fax:505-925-0122
Practice Address - Street 1:1201 CAMINO DE SALUD NE
Practice Address - Street 2:SUITE 4400
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-4517
Practice Address - Country:US
Practice Address - Phone:505-925-0123
Practice Address - Fax:505-925-0122
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMRP000077421835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology