Provider Demographics
NPI:1588810428
Name:KITTREDGE, JANEL MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:JANEL
Middle Name:MARIE
Last Name:KITTREDGE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 BONNET ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER CENTER
Mailing Address - State:VT
Mailing Address - Zip Code:05255-8920
Mailing Address - Country:US
Mailing Address - Phone:802-768-1718
Mailing Address - Fax:408-515-6815
Practice Address - Street 1:34 BONNET ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER CENTER
Practice Address - State:VT
Practice Address - Zip Code:05255-8920
Practice Address - Country:US
Practice Address - Phone:802-768-1718
Practice Address - Fax:408-515-6815
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT32.0046224207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine