Individual
JEFFREY ALLEN KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-4644
(601) 200-4645
Mailing address
PO BOX 22727, JACKSON, MS 39225-2727
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901978
MS
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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