Individual
CHARLES KITCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1185 OLIVE HILL LN, NAPA, CA 94558-2170
(707) 224-5935
(707) 294-2526
Mailing address
1185 OLIVE HILL LN, NAPA, CA 94558-2170
(707) 224-5935
(707) 294-2526
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C33961
CA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
C33961
CA
208D00000X
General Practice Physician
Primary
C33961
CA
208VP0000X
Pain Medicine Physician
C33961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAC033961
STATE LICENSE
CA
Enumeration date
12/01/2005
Last updated
12/01/2011
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