Gerald Robert Kitchen
Home Health Aide in Beavercreek, OH. Individual provider (NPI-1).
NPI number1407450844
StatusActive
Last updated in NPPESNov 25, 2020
Details
- NPI
- 1407450844
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gerald Robert Kitchen
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 25, 2020
- Certification date
- Nov 23, 2020
- Last updated
- Nov 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
548 Carthage DrBeavercreek, OH 45434-5802
Phone 937-684-7795
Mailing address
1301 Meadow Bridge DrBeavercreek, OH 45432-2602
Phone 937-266-5557
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