Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | OS013430 | PA |
NPI | 1679775597 |
---|---|
Provider Name | Dr. Dennis Joseph Kitsko |
First Address | Pittsburgh, PA 15220-1006 |
Second Address | Pittsburgh, PA 15213-2584 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 08/07/2007 |