Individual
CHRISTINA MORAN KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
555 E BROADWAY AVE, SUITE 108, JACKSON, WY 83001-8640
(307) 734-1005
(307) 734-1165
Mailing address
PO BOX 3306, IDAHO FALLS, ID 83403-3306
(307) 734-1201
(307) 734-1165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24423.0895
WY
Other
Enumeration date
02/27/2008
Last updated
04/14/2015
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