Search › Indiana › 363A00000X
John Kittredge, PA
NPI 1750316196 · on the registry since 2006
Practice
- Address
- 3740 Edison Lakes Pkwy
Mishawaka, IN 46545 - Phone
- (574) 252-4150
- Fax
- (574) 252-4159
- Organisation at this address
- Michiana Spine, Sports & Occupational Rehab, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-05
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 Indiana