Individual
DR. BEN EARL KITCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 KAKI ST, IUKA, MS 38852
(662) 423-3662
(662) 423-2509
Mailing address
302 KAKI ST, IUKA, MS 38852
(662) 423-3662
(662) 423-2509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
00007236
AL
207Q00000X
Family Medicine Physician
Primary
06296
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123644
—
MS
01
—
1558533158
GROUP NPI
MS
Enumeration date
02/07/2006
Last updated
01/19/2010
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