Individual
DR. LEVI K KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
554 KEILY STREET, BUREAU OF MEDICINE AND SURGERY, JACKSONVILLE, FL 32212
(757) 953-7550
Mailing address
554 KEILY STREET, BUREAU OF MEDICINE AND SURGERY, JACKSONVILLE, FL 32212
(757) 953-7550
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101244002
VA
207P00000X
Emergency Medicine Physician
M-1947
GU
Other
Enumeration date
07/18/2007
Last updated
05/12/2016
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