# JERI S. KITCHEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073764775
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 156 | WV | — |
| 367A00000X | Advanced Practice Midwife | APRN.CNM.10281 | OH | Yes |

## Other

- **Enumeration date:** 10/01/2008
- **Last updated:** 10/29/2019

## 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 | — |