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General NPI Number Information
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NPI Number | 1952901548
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Entity Type | Individual
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Provider Name | KELLY H. KITCHEN RPH
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Gender | Female
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Dates
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Enumeration Date | 11/01/2020
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Last Update Date | 11/01/2020
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Provider Practice Location Address
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Address Line | 2900 PIKE ST
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City | PARKERSBURG
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State | WV
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Zip | 26101-8694
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Country | US
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Telephone | 304-489-3268
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MANCHESTER DR
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City | MARIETTA
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State | OH
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Zip | 45750-2680
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Country | US
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Telephone | 740-434-1117
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03318788
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0005074
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License Number State | WV
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