Provider Demographics
NPI:1679775597
Name:KITSKO, DENNIS JOSEPH (DO)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:JOSEPH
Last Name:KITSKO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:958 CHATHAM PARK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1006
Mailing Address - Country:US
Mailing Address - Phone:724-344-1856
Mailing Address - Fax:
Practice Address - Street 1:3705 5TH AVE
Practice Address - Street 2:CHILDREN'S HOSP OF PITTSBURGH - DEPT OF PED OTOLARYNGOL
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2584
Practice Address - Country:US
Practice Address - Phone:412-692-8577
Practice Address - Fax:412-692-6074
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS013430207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology