Individual
STEVEN B. KITCHINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2530 BERT KOUNS, SUITE 138, SHREVEPORT, LA 71118
(318) 212-5911
(318) 212-5168
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-5911
(318) 212-5168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201534
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1092495
—
LA
01
—
4N134BC11
MEDICARE PTAN
LA
Enumeration date
05/24/2007
Last updated
06/17/2021
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