Organization
BEN E. KITCHENS
Active
Other names
IUKA FAMILY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN E KITCHENS M.D. (DOCTOR)
(662) 423-3662
Entity
Organization
Contact information
Practice address
302 KAKI ST, IUKA, MS 38852-1117
(662) 423-3662
(662) 423-2509
Mailing address
302 KAKI ST, IUKA, MS 38852-1117
(662) 423-3662
(662) 423-2509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6296
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123644
—
MS
Enumeration date
03/24/2008
Last updated
03/27/2008
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