Kitchens, Wentzelle Kim
Kitchens, Wentzelle Kim is an individual health care provider with primary practice located at 501 Sparta Rd Suite F, Sandersville GA 31082-1371. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kitchens, Wentzelle Kim can be contacted via phone (478) 552-0001.Contact Information
Primary practice address
501 Sparta Rd Suite F
Sandersville GA 31082-1371
Phone: (478) 552-0001
Fax: (478) 552-0048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 038277 | Georgia |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 038277 | Georgia |
Profile Details
| NPI number | 1275598468 |
|---|---|
| LBN Legal business name | Kitchens, Wentzelle Kim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Aug 14th, 2013 - about 13 years ago |
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 | 1275598468 | NPPES |
| Georgia | Other | 110083260 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 00597605B | RAILROAD MEDICARE |
| Georgia | Other | 476142 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 00597605A | RAILROAD MEDICARE |
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