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

John Harlan Kitterman IV, MS, ATC

Individual provider Athletic Trainer · NPI 1164109302

John Harlan Kitterman IV, MS, ATC is an Athletic Trainer in Lake Havasu City, Arizona. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2675 Palo Verde Blvd S
Lake Havasu City, AZ 86403-4919
Phone: (626) 484-9759
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1164109302
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC
Sole proprietorYes
NPI enumeratedJune 29, 2023
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

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