Provider Demographics
NPI:1336471929
Name:KITCHENS, PAULA (RPH)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:KITCHENS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 HWY 110 N
Mailing Address - Street 2:PO BOX 1310
Mailing Address - City:WHITEHOUSE
Mailing Address - State:TX
Mailing Address - Zip Code:75791-3111
Mailing Address - Country:US
Mailing Address - Phone:903-839-4391
Mailing Address - Fax:903-839-6365
Practice Address - Street 1:301 HWY 110 N
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:TX
Practice Address - Zip Code:75791-3111
Practice Address - Country:US
Practice Address - Phone:903-839-4391
Practice Address - Fax:903-839-6365
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28935183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist