Individual
ELIZABETH ALTHEA KITCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(719) 588-7794
Mailing address
328 PROSPECT AVE APT 2R, BROOKLYN, NY 11215-5528
(719) 588-7794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
09/22/2022
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