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General NPI Number Information
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NPI Number | 1700666989
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Entity Type | Individual
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Provider Name | KATHRYN KITCHING
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Gender | Female
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 601 7TH ST S STE 205
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4748
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Country | US
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Telephone | 727-893-6234
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Fax | 727-553-7798
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Provider Business Mailing Address
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Address Line | 601 7TH ST S STE 205
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4748
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Country | US
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Telephone | 727-893-6234
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Fax | 727-553-7798
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 5042
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License Number State | SC
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