Organization
KITCH HEALTH
Active
Parent organization
CREATE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREATE LLC
Authorized official
BLLAIR BRANDON KITCH (PRESIDENT)
(317) 292-1891
Entity
Organization
Contact information
Practice address
994 WOODRUFF PLACE WEST DR, NONE, INDIANAPOLIS, IN 46201-1954
(317) 292-1891
Mailing address
994 WOODRUFF PLACE WEST DR, NONE, INDIANAPOLIS, IN 46201-1954
(317) 292-1891
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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