Individual
TAMMY L KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1503 W ELK AVE, SUITE 12, ELIZABETHTON, TN 37643-2876
(423) 547-9400
(423) 547-9401
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 547-9400
(423) 547-9401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD31209
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3859966
—
TN
01
—
4107454
BCBS
TN
01
—
TN0102
JOHN DEERE
TN
Enumeration date
06/09/2006
Last updated
02/19/2025
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