Individual
BENJAMIN J KITTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 MAYFAIR DR STE 305, OWENSBORO, KY 42301-4572
(270) 688-3700
(270) 688-3709
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
P4473
TX
208200000X
Plastic Surgery Physician
Primary
49916
KY
2086S0122X
Plastic and Reconstructive Surgery Physician
49916
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005700
—
IN
05
—
7100473780
—
KY
Enumeration date
07/01/2011
Last updated
07/01/2021
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