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Individual

JEFF D KITCHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
10121 E BELL RD, 140, SCOTTSDALE, AZ 85260-2189
(480) 419-3500
(480) 419-3522
Mailing address
PO BOX 18607, FOUNTAIN HILLS, AZ 85269-8607
(480) 415-0444
(480) 419-3522

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
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