Provider Demographics
NPI:1265430946
Name:KITTS, DAVID G (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:KITTS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10956 DONNER PASS RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-4861
Mailing Address - Country:US
Mailing Address - Phone:530-550-8189
Mailing Address - Fax:530-550-8169
Practice Address - Street 1:10956 DONNER PASS RD
Practice Address - Street 2:SUITE 210
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-4861
Practice Address - Country:US
Practice Address - Phone:530-550-8189
Practice Address - Fax:530-550-8169
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG59846208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF12350Medicare UPIN