Individual
MICHELLE DAWN KITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1325 EASTMORELAND AVE, SUITE 245, MEMPHIS, TN 38104-3519
(901) 516-9800
(901) 516-9817
Mailing address
PO BOX 1000, DEPT # 978, MEMPHIS, TN 38148-0001
(901) 516-9800
(901) 516-9817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD48535
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529576
—
TN
01
—
4354837
BCBS TN
TN
Enumeration date
03/30/2010
Last updated
12/18/2013
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