Individual
JOHN MICHAEL KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
20528 BOLAND FARM RD, SUITE 111, GERMANTOWN, MD 20876-4021
(301) 528-8096
(301) 528-8083
Mailing address
20528 BOLAND FARM RD, SUITE 111, GERMANTOWN, MD 20876-4021
(301) 528-8096
(301) 528-8083
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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