Individual
DR. RICHARD WALTER KITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
366CHESTNUT DR, BLOWING ROCK, NC 28605
(828) 295-9634
Mailing address
P O BOX 469, BLOWING ROCK, NC 28605-0469
(828) 295-9634
(828) 295-9634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3469
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3469
DENTAL LICENSE
NC
05
—
8995025
—
NC
Enumeration date
11/17/2006
Last updated
07/08/2007
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