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Contact Information

RICHARD N KITTELSON
918 WASHINGTON AVE
DETROIT LAKES, MN56501-3402
 Phone: 218-847-8021
 Fax: 218-846-9552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for RICHARD N KITTELSON · (Female)

NPI Number 1962496570
Status Active
Credentials
Entity Individual
Enumeration date 09/09/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 03590
  • MN Other 1C991OP BLUE CROSS BLUE SHIELD
  • MN Other 2100679 MEDICA
  • ND Other OPT301766 NORTH DAKOTA VISION SERVI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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