Individual
JOHN MICHAEL KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21497
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BCBS DC
DC
01
—
47610168
BLUE CROSS BLUE SHIELD
MD
01
—
64382802
CARE FIRST
—
01
—
7654166
AETNA
—
Enumeration date
10/20/2006
Last updated
02/25/2009
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