Kondylis-Deblois, Kitsa C.

Kondylis-Deblois, Kitsa C. is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kondylis-Deblois, Kitsa C. can be contacted via phone (508) 334-6255.

Contact Information

Primary practice address
119 Belmont St Worcester MA 01605-2903
Phone: (508) 334-6255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 158052 Massachusetts

Profile Details

NPI number 1346218807
LBN Legal business name Kondylis-Deblois, Kitsa C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 25th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346218807 NPPES
Massachusetts MEDICAID 3187781

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