Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dylan L Kittrell

Individual provider Physician Assistant · NPI 1275363392

Dylan L Kittrell is a Physician Assistant in Gulfport, Mississippi. Qualified in 2024, 2 years ago. Practices with Singing River Health System, a 290-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

15190 Community Rd Ste 120
Gulfport, MS 39503-3484
Phone: (228) 205-6825
Fax: (228) 831-8782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1275363392
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 5, 2024
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing address2101 Highway 90, Gautier, MS 39553-5340

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Singing River Health System — 290 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Gulfport