Individual
EMILY KITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
400 W LINCOLN AVE, GOSHEN, IN 46526-2413
(474) 457-4534
Mailing address
1682 S SAINT ANDREWS RD E, WINONA LAKE, IN 46590-8918
(574) 343-3086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014510A
IN
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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