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Mr. John Lee Kitchell, PA
Medical Physician Assistant in Modesto, California
NPI 1366419731

John Lee Kitchell is a Medical Physician Assistant based in Modesto, CA and is specialized in Medical. John Lee Kitchell practices in Modesto, CA and has the professional credentials of PA. The NPI Number for John Lee Kitchell is 1366419731 and holds a License No. PA10078 (California).

The current practice location address for John Lee Kitchell is 1209 Woodrow Ave, Modesto, CA and can be reached out via phone at 209-558-7331. You can also correspond with John Lee Kitchell through the mailing address at 1209 WOODROW AVE, MODESTO, CA - 95350-1288 (mailing address contact number: 209-558-7331).

Location: 1209 Woodrow Ave, Modesto, CA, 95350-1288
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Provider Profile Details
NPI Number
1366419731
Provider Name
John Lee Kitchell
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1209 Woodrow Ave, Modesto, CA, 95350-1288
Phone Number
209-558-7331
Fax Number
Provider Enumeration Date
03/03/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA10078 01 CA CALIFORNIA STATE PA LIC
institution
Provider Business Practice Location Address Details
Address
1209 Woodrow Ave
City
State
Zip
95350-1288
Phone Number
209-558-7331
Fax Number
person
Provider Business Mailing Address Details
Address
1209 Woodrow Ave
City
State
Zip
95350-1288
Phone Number
209-558-7331
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10078 (California)
Definition
Definition to come...
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