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Individual

ANTHONY W KITCHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5340
(304) 424-2111
(904) 346-0113
Mailing address
PO BOX 75113, BALTIMORE, MD 21275-5113
(304) 422-1666
(904) 346-0113

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19471
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0048532000
WV
01
1043286
WV WORK COMP
WV
01
2044862
OHIO MEDICAID
WV
01
P00200306
RAILROAD MEDICARE
WV
Enumeration date
06/03/2006
Last updated
04/06/2022
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