Individual
MR. GERALD ROBERT KITCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
548 CARTHAGE DR, BEAVERCREEK, OH 45434-5802
(937) 684-7795
Mailing address
1301 MEADOW BRIDGE DR, BEAVERCREEK, OH 45432-2602
(937) 266-5557
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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