Provider Demographics
NPI:1134498603
Name:KITTELL, KATRINA FRANCESCA (PHARMACY INTERN)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:FRANCESCA
Last Name:KITTELL
Suffix:
Gender:F
Credentials:PHARMACY INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8352 N SAGE PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-2260
Mailing Address - Country:US
Mailing Address - Phone:520-481-2456
Mailing Address - Fax:
Practice Address - Street 1:3800 W INA RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2240
Practice Address - Country:US
Practice Address - Phone:520-744-4708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZI009826390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program