Provider Demographics
NPI:1790754869
Name:KITCHENS, HOWARD H (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:H
Last Name:KITCHENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 428
Mailing Address - Street 2:622 LEIGHTON AVE
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-3620
Mailing Address - Country:US
Mailing Address - Phone:256-237-6717
Mailing Address - Fax:256-236-1920
Practice Address - Street 1:622 LEIGHTON AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207
Practice Address - Country:US
Practice Address - Phone:256-237-6717
Practice Address - Fax:256-236-1920
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7648174400000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000043469Medicaid
AL051043469OtherBLUE CROSS & BLUE SHIELD
ALF91628Medicare UPIN
AL000043469Medicaid
F91628Medicare UPIN