Dr. Charles Aaron Kitley II, M.D., B.S.
Radiology, Vascular & Interventional Radiology in Tacoma, WA. Individual provider (NPI-1).
NPI number1891968392
StatusActive
Last updated in NPPESSep 2, 2022
Details
- NPI
- 1891968392
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Aaron Kitley II
- Credential
- M.D., B.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2008
- Certification date
- Nov 17, 2020
- Last updated
- Sep 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | MD 60415377 | WA | Yes |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 2007023402 | MO |
Practice location
9040 Jackson AveTacoma, WA 98431-2028
Phone 253-968-1110
Mailing address
9040 Jackson AveTacoma, WA 98431-0001
Phone 253-968-2182
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