Provider Demographics
NPI:1518262914
Name:KITTEL, DANIEL (DVM)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:KITTEL
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8153 ELK GROVE BLVD
Mailing Address - Street 2:SUITE 30
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-5965
Mailing Address - Country:US
Mailing Address - Phone:916-714-5387
Mailing Address - Fax:916-714-5394
Practice Address - Street 1:8153 ELK GROVE BLVD
Practice Address - Street 2:SUITE 30
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-5965
Practice Address - Country:US
Practice Address - Phone:916-714-5387
Practice Address - Fax:916-714-5394
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14375174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian