Male or Other

Dr. Ronald Kitchen

Prosthodontist in Detroit, MI(View on Map)

Full Name

Dr. Ronald Kitchen

NPI Number

1316055254

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/29/2006

Specialties

(Taxonomies)

Code

1223P0700X
1223G0001X

Primary Taxonomy

Yes
No

Licenses

State

Illinois
Michigan

License Number

019-026386
2901020584

Contact
Information

Purpose

Mailing
Location

Address

4646 JOHN R ST
4646 JOHN R ST

City

Detroit
Detroit

State

MI
MI

Postal Code

48201-1916
48201-1916

Country

US
US

Telephone Number

(313) 576-4336
(313) 576-1000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/05/2020

Provider Address

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