Individual
DR. DEANNA LEE KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
801 FARRAR DR, CONWAY, SC 29526-8747
(843) 347-8111
Mailing address
1303 AZALEA CT STE B, MYRTLE BEACH, SC 29577-5765
(843) 692-0570
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
92039
SC
2085R0202X
Diagnostic Radiology Physician
S3218
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2018
Last updated
05/03/2026
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