Individual
JERI S. KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5381
(740) 446-5082
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5381
(740) 446-5082
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
156
WV
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.10281
OH
Other
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
—
Enumeration date
10/01/2008
Last updated
10/29/2019
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