Individual
ANNE CAROLINE KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8435 CLEARVISTA PL STE 101, INDIANAPOLIS, IN 46256
(317) 621-1006
(317) 355-6822
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-1647
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01071351A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11014777A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201117000
—
IN
Enumeration date
05/19/2009
Last updated
06/10/2021
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