Individual
JEFF D KITCHEN
Active
Individual
JEFF D KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AZ2214
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0461600
BCBS
AZ
01
—
2Z0057
HEALTHNET
AZ
01
—
7228691
AETNA
AZ
05
—
969371
—
AZ
01
—
Z106347
MEDICARE LEGACY GROUP
AZ
01
—
Z106348
MEDICARE LEGACY
AZ
Enumeration date
01/23/2006
Last updated
01/22/2019
Update your record
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