Healthcare Provider Details

I. General information

NPI: 1386974004
Provider Name (Legal Business Name): JOSHUA SEAY KITCHENS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2009
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1997 BARRETT CT
HENDERSON KY
42420-2667
US

IV. Provider business mailing address

PO BOX 638706
CINCINNATI OH
45263-8706
US

V. Phone/Fax

Practice location:
  • Phone: 270-827-6662
  • Fax: 270-826-8220
Mailing address:
  • Phone: 270-827-7558
  • Fax: 270-827-7530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR2141
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: