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Individual

DR. KITO AKIN LORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
(901) 545-8996
Mailing address
877 JEFFERSON AVENUE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
56233
TN
207P00000X
Emergency Medicine Physician
MD458287
PA

Other

Enumeration date
06/11/2010
Last updated
09/22/2017
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