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Richard N Kittelson
Eyewear Supplier in Detroit Lakes, Minnesota
NPI 1962496570

Richard N Kittelson is a Eyewear Supplier based in Detroit Lakes, MN. Richard N Kittelson practices in Detroit Lakes, MN. The NPI Number for Richard N Kittelson is 1962496570 and holds a License No. 03590 (Minnesota).

The current practice location address for Richard N Kittelson is 918 Washington Ave, Detroit Lakes, MN and can be reached out via phone at 218-847-8021 and via fax at 218-846-9552.

Location: 918 Washington Ave, Detroit Lakes, MN, 56501-3402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962496570
Provider Name
Richard N Kittelson
Credential
Provider Entity Type
Organization
Address
918 Washington Ave, Detroit Lakes, MN, 56501-3402
Phone Number
218-847-8021
Fax Number
218-846-9552
Provider Enumeration Date
09/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1C991OP 01 MN BLUE CROSS BLUE SHIELD
2100679 01 MN MEDICA
OPT301766 01 ND NORTH DAKOTA VISION SERVI
institution
Provider Business Practice Location Address Details
Address
918 Washington Ave
City
Detroit Lakes
State
Minnesota
Zip
56501-3402
Phone Number
218-847-8021
Fax Number
218-846-9552
person
Provider Business Mailing Address Details
Address
918 Washington Ave
City
Detroit Lakes
State
Minnesota
Zip
56501-3402
Phone Number
218-847-8021
Fax Number
218-846-9552
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
(Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
03590 (Minnesota)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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