National Provider Identifier
Eric Lewis Kittles Jr.
Eric Lewis Kittles Jr. is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 336-8100.
Source: public NPPES record, last updated January 23, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1740744960
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- January 23, 2019
- Last Updated
- January 23, 2019
Practice Location
- 1 Mustard St
- Rochester, NY 14609-6980
Phone: (585) 336-8100
Specialties
- Peer Specialist (175T00000X)
- Peer Specialist (175T00000X)
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Full Record
- NPI
- 1740744960
- Entity Type
- Individual
- Last Name
- Kittles
- First Name
- Eric
- Middle Name
- Lewis
- Name Suffix
- Jr.
- Mailing Street Address
- 1 Mustard St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-6980
- Mailing Country
- US
- Mailing Phone
- (585) 336-8100
- Practice Street Address
- 1 Mustard St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-6980
- Practice Country
- US
- Practice Phone
- (585) 336-8100
- Enumeration Date
- January 23, 2019
- Last Updated
- January 23, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X), Peer Specialist (175T00000X)
- Other Identifiers
- 21304 (Train)