Individual
LACODY BURNETT KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
204 GLADES RD, GATLINBURG, TN 37738-5658
(865) 436-2811
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12893
GA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
02/04/2026
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