Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 1855924 | MA |
N | 1223D0004X | Dentist Anesthesiologist | DEN02953 | RI |
N | 1223G0001X | General Practice | 30-022252 | OH |
N | 213EG0000X | General Practice | 30-022252 | OH |
NPI | 1821155037 |
---|---|
Provider Name | Mrs. Kristen Zitterell |
First Address | Taunton, MA 02780-5403 |
Second Address | Taunton, MA 02780-5403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 20/10/2016 |