Randy Kittleson, DPM | |
20 S Park St, Madison, WI 53715-1348 | |
(608) 287-2037 | |
Not Available |
Full Name | Randy Kittleson |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 30 Years |
Location | 20 S Park St, Madison, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578539581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 764 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Wisconsin Medical Foundation Inc | 6608785464 | 2153 |
Provider Name | University Of Wisconsin Medical Foundation Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
Mailing Address | Practice Location Address |
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Randy Kittleson, DPM 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Randy Kittleson, DPM 20 S Park St, Madison, WI 53715-1348 Ph: (608) 287-2037 |
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