| Doctor Name: | MR. BRIAN DENNIS KITTELSON |
| NPI Number: | 1730234345 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DNP, ARNP, FNP-C |
| License Number: | ARNP 3080462 |
| Business Practice Address: | 2200 Bergquist Dr 59 Trs, Rm 7b29 Jbsa Lackland, TX - 782369907 |
| Business Phone Number: | 2102926893 |
| Business Fax Number: | |
| Mailing Address: | 2200 Bergquist Dr, 59 Trs, Rm 7b29 JBSA LACKLAND |
| State: | TX |
| Postal Code: | 782369907 |
| Phone Number: | 2102926893 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 12/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP 3080462 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |