Organization
GERALD T KITCHENS II MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA HAMELIN (CREDENTIALING MANAGER)
(602) 308-7817
Entity
Organization
Contact information
Practice address
7878 N 16TH ST STE 250, PHOENIX, AZ 85020-4478
(602) 308-7888
(602) 277-8146
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 308-7888
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30278
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692790
—
AZ
Enumeration date
07/18/2017
Last updated
07/21/2022
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