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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184251092

Kyle Kitasoe is a Student in an Organized Health Care Education/Training Program in Menlo Park, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

825 Oak Grove Ave Ste C501
Menlo Park, CA 94025-4427
Phone: (650) 323-5211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 106703 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184251092
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 23, 2020
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021
Mailing address825 Oak Grove Ave Ste C501, Menlo Park, CA 94025-4427

Other providers in Menlo Park