Individual
DR. MICHAEL GREGORY KITCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
104 N UTAH AVE, RUSSELLVILLE, AR 72801-2740
(479) 968-1706
(479) 968-7997
Mailing address
104 N UTAH AVE, RUSSELLVILLE, AR 72801-2740
(479) 968-1706
(479) 968-7997
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3895
AR
Other
Enumeration date
07/12/2012
Last updated
12/20/2013
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