Provider Demographics
NPI:1093986127
Name:KITCHENS, CURTIS SCOTT
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:SCOTT
Last Name:KITCHENS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 E 241ST ST
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IN
Mailing Address - Zip Code:46034-9771
Mailing Address - Country:US
Mailing Address - Phone:317-758-5374
Mailing Address - Fax:
Practice Address - Street 1:2945 E 241ST ST
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IN
Practice Address - Zip Code:46034-9771
Practice Address - Country:US
Practice Address - Phone:317-758-5374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28166539A282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital