Healthcare Provider Details

I. General information

NPI: 1215592837
Provider Name (Legal Business Name): JOSEPH KITCHEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2019
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 THOMAS MORE PKWY
CRESTVIEW HILLS KY
41017-3488
US

IV. Provider business mailing address

328 THOMAS MORE PKWY
CRESTVIEW HILLS KY
41017-3488
US

V. Phone/Fax

Practice location:
  • Phone: 513-347-9999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number62069
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: