Individual
JACQUELINE R KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-3965
Mailing address
2310 HOLMES ST, SUITE 800, KANSAS CITY, MO 64108-2602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2011020297
MO
208000000X
Pediatrics Physician
2011020297
MO
Other
Enumeration date
03/24/2011
Last updated
12/02/2020
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