Jack Kitaeff, PH.D

NPI 1518300201 · on the registry since 2013 · sole proprietor

Practice

Address: 10560 Main St
Suite 518
Fairfax, VA 22030
Phone: (703) 349-2999
Organisation at this address: Ablix Corp.
Dbn Services
Playzhere Llc
Kahak Va, Inc.
Laurie Best Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 82

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia