Kitchens, Kristy
Kitchens, Kristy is an individual health care provider with primary practice located at 300 W Hospital Rd , Fort Gordon GA 30905-5741. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kitchens, Kristy can be contacted via phone (706) 787-8290.Contact Information
Primary practice address
300 W Hospital Rd
Fort Gordon GA 30905-5741
Phone: (706) 787-8290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | South Carolina | |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 8913 | South Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW003572 | Georgia |
Profile Details
| NPI number | 1942247275 |
|---|---|
| LBN Legal business name | Kitchens, Kristy |
| Credentials | CSW, LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Apr 25th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942247275 | NPPES |
| South Carolina | MEDICAID | AD01AK | |
| South Carolina | Other | 570569761 |
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