Individual
CHARLES EDWARD KITCHEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
190 N BRIDGE ST, CHILLICOTHE, OH 45601-2620
(740) 775-9995
(740) 775-9997
Mailing address
190 N BRIDGE ST, CHILLICOTHE, OH 45601-2620
(740) 775-9995
(740) 775-9997
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2310
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000346129
ANTHEM
OH
05
—
2187146
—
OH
Enumeration date
11/08/2006
Last updated
07/31/2009
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