Individual
GREGORY R KITCHINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2004
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN08999
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN08999
REGISTERED NURSE
NV
Enumeration date
11/05/2009
Last updated
01/07/2010
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