Provider Demographics
NPI:1093021073
Name:KITCHENS, LINDSEY BISE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:BISE
Last Name:KITCHENS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LINDSEY
Other - Middle Name:ERIN
Other - Last Name:BISE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:255 OCOEE CROSSING
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312
Mailing Address - Country:US
Mailing Address - Phone:423-473-1746
Mailing Address - Fax:423-473-0846
Practice Address - Street 1:255 OCOEE CROSSING
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312
Practice Address - Country:US
Practice Address - Phone:423-473-1746
Practice Address - Fax:423-473-0846
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34231183500000X
TN0000034231183500000X
FLPS47288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist