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Individual
JERI S. KITCHEN
Active
Individual
JERI S. KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
156
WV
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.10281
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000258858
OHIO MEDICAID UNISON
OH
01
—
2875376
OHIO MEDICAID MOLINA
OH
05
—
2875376
—
OH
01
—
310917085200
OHIO MEDICAID CARESOURCE
OH
05
—
3810013407
—
WV
01
—
KINM03651
MEDICARE
—
01
—
P00725268
RAILROAD MEDICARE
—
Enumeration date
10/01/2008
Last updated
10/29/2019
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