Individual
JESSICA LYNN KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(706) 439-6897
Mailing address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(706) 745-2111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03711
NC
363A00000X
Physician Assistant
0110003631
VA
363A00000X
Physician Assistant
Primary
6866
GA
Other
Enumeration date
07/20/2011
Last updated
04/25/2024
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