Healthcare Provider Details

I. General information

NPI: 1598892952
Provider Name (Legal Business Name): WILLIAM H. KITCHENS JR. M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 01/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 CLIFTON RD NE
ATLANTA GA
30322-1059
US

IV. Provider business mailing address

EMORY TRANSPLANT CTR 101 WOODRUFF CIRCLE, WMB SUITE 5105
ATLANTA GA
30322-0001
US

V. Phone/Fax

Practice location:
  • Phone: 404-712-2000
  • Fax:
Mailing address:
  • Phone: 404-712-1820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberL-228120
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number63081
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: