Individual
DAVID J KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
501 S UNION AVE, WOUND CARE CLINIC, HAVRE DE GRACE, MD 21078-3409
(443) 843-6600
Mailing address
3 WHITE SPRUCE CT, BALTIMORE, MD 21234-1514
(410) 882-0314
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R140728
MD
363LG0600X
Gerontology Nurse Practitioner
R140728
MD
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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