Provider Demographics
NPI:1912008442
Name:KITT, VICTOR V (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:V
Last Name:KITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 16TH ST
Mailing Address - Street 2:STE A
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3352
Mailing Address - Country:US
Mailing Address - Phone:661-322-1258
Mailing Address - Fax:661-637-1112
Practice Address - Street 1:2701 16TH ST
Practice Address - Street 2:STE A
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3352
Practice Address - Country:US
Practice Address - Phone:661-322-1258
Practice Address - Fax:661-637-1112
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC41263207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C412630OtherLICENSE
CA00C412630Medicaid
CA00C412630Medicare UPIN