KETAN KITTUR

MODESTO, CA
NPI1750024162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  2414)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2022-04-14
Last Update Date2022-08-04
Business Address
KETAN KITTUR DO
1400 FLORIDA AVE STE 102
MODESTO, CA 95350-4446
Phone number: 209-573-6147
Mailing Address
KETAN KITTUR DO
734 GLEN-MADY WAY
FOLSOM, CA 95630-6278
Phone number: 408-221-5907