Individual
DAVID KITCHEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1724 S 3RD ST, IRONTON, OH 45638-2269
(740) 479-5135
Mailing address
1724 S 3RD ST, IRONTON, OH 45638-2269
(740) 479-5135
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.176148
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/18/2020
Last updated
03/19/2021
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