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Individual

DR. CLOVIS ANDREW KITCHENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S. M.S

Contact information

Practice address
14114 TAYLOR LOOP RD, LITTLE ROCK, AR 72223
(501) 868-3331
(501) 868-5323
Mailing address
14114 TAYLOR LOOP RD., LITTLE ROCK, AR 72223
(501) 868-3331
(501) 868-5323

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2186
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156309631
AR
01
58373
BCBS ID #
AR
Enumeration date
01/10/2007
Last updated
12/28/2011
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