| Doctor Name: | MICHAEL THOMAS KITCHELL |
| NPI Number: | 1932490554 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD.206535 |
| Business Practice Address: | 2106 Loop Rd Winnsboro, LA - 712953344 |
| Business Phone Number: | 3184125265 |
| Business Fax Number: | 3184353842 |
| Mailing Address: | 104 Verona Street, NEWELLTON |
| State: | LA |
| Postal Code: | 71357 |
| Phone Number: | 3184679949 |
| Fax Number: | 3184672093 |
| NPI Enumeration Date: | 04/30/2011 |
| NPI Last Update Date: | 04/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD.206535 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |