Individual
ASHLEY SIMONE KITCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 E BUSCH BLVD, TAMPA, FL 33612-8656
(727) 776-3878
Mailing address
1529 S MADISON AVE, CLEARWATER, FL 33756-2129
(727) 776-3878
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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