Individual
DR. ERIC PAUL KITCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6127 E. CENTRAL, WICHITA, KS 67208-4209
(316) 685-0630
(316) 685-1580
Mailing address
6127 E CENTRAL AVE, WICHITA, KS 67208-4209
(316) 685-0630
(316) 685-1580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1222-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218160A
—
KS
01
—
N516
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
09/01/2006
Last updated
05/29/2012
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