Provider Demographics
NPI:1740273267
Name:KITCHEN, STEVEN E X (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:E
Last Name:KITCHEN
Suffix:X
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-1918
Mailing Address - Country:US
Mailing Address - Phone:229-883-4555
Mailing Address - Fax:229-438-1430
Practice Address - Street 1:414 5TH AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1918
Practice Address - Country:US
Practice Address - Phone:229-883-4555
Practice Address - Fax:229-438-1430
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA032222207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00400628AMedicaid
E27974Medicare UPIN
GA16BDBKNMedicare ID - Type Unspecified