Individual
MR. JEFFREY R KITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1203 S TYLER ST, STE E, COVINGTON, LA 70433-2353
(985) 871-6020
(985) 871-6027
Mailing address
230 KISSENA PARK CT, COVINGTON, LA 70435-0280
(985) 875-9613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03440
LA
Other
Enumeration date
02/20/2009
Last updated
03/23/2011
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