Organization
FELISHA LOVE KITCHEN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELISHA L. KITCHEN MD (OWNER/PHYSICIAN)
(478) 742-5502
Entity
Organization
Contact information
Practice address
1062 FORSYTH ST, SUITE 2-E, MACON, GA 31201-8637
(478) 742-5502
(478) 742-5505
Mailing address
1062 FORSYTH ST, SUITE 2-E, MACON, GA 31201-8637
(478) 742-5502
(478) 742-5505
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
051343
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
739099977A
—
GA
Enumeration date
01/04/2010
Last updated
01/04/2010
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