Individual
MR. KENNETH J KITCHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
110 RUSHING LN, STATESBORO, GA 30458-6027
(912) 681-2225
(912) 871-2225
Mailing address
110 RUSHING LN, STATESBORO, GA 30458-6027
(912) 681-2225
(912) 871-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005332
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00748129A
—
GA
Enumeration date
10/25/2006
Last updated
07/08/2007
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