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Individual

MATTHEW KITCHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
369 GEORGE KOSTAS DR, SUITE 1, LOGAN, WV 25601-3493
(304) 962-6117
Mailing address
369 GEORGE KOSTAS DR, SUITE 1, LOGAN, WV 25601-3493

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007648
WV

Other

Enumeration date
04/20/2012
Last updated
04/20/2012
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