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General NPI Number Information
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NPI Number | 1154362143
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Entity Type | Individual
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Provider Name | TAMMY L KITCHENS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1503 W ELK AVE SUITE 12
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City | ELIZABETHTON
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State | TN
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Zip | 37643-2876
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Country | US
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Telephone | 423-547-9400
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Fax | 423-547-9401
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Provider Business Mailing Address
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Address Line | PO BOX 632476
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City | CINCINNATI
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State | OH
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Zip | 45263-2476
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Country | US
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Telephone | 423-547-9400
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Fax | 423-547-9401
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD31209
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License Number State | TN
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