Provider Demographics
NPI:1386974004
Name:KITCHENS, JOSHUA SEAY (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:SEAY
Last Name:KITCHENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 638706
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-8706
Mailing Address - Country:US
Mailing Address - Phone:270-827-7558
Mailing Address - Fax:270-827-7530
Practice Address - Street 1:1997 BARRETT CT
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-2667
Practice Address - Country:US
Practice Address - Phone:270-827-6662
Practice Address - Fax:270-826-8220
Is Sole Proprietor?:No
Enumeration Date:2009-12-31
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR2141207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP01019922OtherRAILROAD MEDICARE
KYK010230Medicare PIN
KYP400021620Medicare PIN
KYP01019922OtherRAILROAD MEDICARE
KYP400021618Medicare PIN