Individual
MS. MICHELLE ANTOINETTE KITCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
214 NE OUTLOOK AVE, GRANTS PASS, OR 97526-1412
(541) 474-5665
Mailing address
339 ENTERPRISE AVE, MERLIN, OR 97532-9802
(817) 994-4997
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10024886
OR
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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