Individual
JOHN KITCHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 AMIFORD DR, SAN DIEGO, CA 92107-4204
(619) 804-6137
Mailing address
720 AMIFORD DR, SAN DIEGO, CA 92107-4204
(619) 804-6137
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
CO36013
CA
282N00000X
General Acute Care Hospital
CO36013
CA
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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