Doctor Name: | MS. MARTHA B. KITCHINGS |
NPI Number: | 1235273368 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | RN022690 |
Business Practice Address: | 455 S Main St Ste 104 Hinesville, GA - 313134354 |
Business Phone Number: | 9128765644 |
Business Fax Number: | 9124083457 |
Mailing Address: | Po Box 919, HINESVILLE |
State: | GA |
Postal Code: | 313100919 |
Phone Number: | 9128765644 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 07/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN022690 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |