Individual
DR. MICHAEL G. KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
490 SUSQUEHANNA AVE, CURWENSVILLE, PA 16833-1448
(814) 236-3666
Mailing address
616 E MAIN ST, MAHAFFEY, PA 15757-6605
(814) 277-6474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036979
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000036979PA
DELTA DENTAL INSURANCE CO. -TX
PA
01
—
1901318
UNITED CONCORDIA PROVIDER
PA
01
—
PA000000036979
DELTA DENTAL
AR
Enumeration date
12/04/2006
Last updated
06/03/2008
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