| Doctor Name: | SUSAN KITCHELL |
| NPI Number: | 1740679117 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | APRN002203 |
| Business Practice Address: | 1343 Newlands Dr W Fernley, NV - 894088926 |
| Business Phone Number: | 7759825000 |
| Business Fax Number: | 7759823900 |
| Mailing Address: | 780 Kuenzli St, Ste 202 RENO |
| State: | NV |
| Postal Code: | 895020845 |
| Phone Number: | 7759825262 |
| Fax Number: | 7759825496 |
| NPI Enumeration Date: | 01/22/2015 |
| NPI Last Update Date: | 06/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APRN002203 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |