Charles Edward Kitchen Jr., D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2310 Issued in OH

Practice address

190 N Bridge St
Chillicothe, OH 45601-2620

Phone

(740) 775-9995

Fax

(740) 775-9997

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1396815668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N BRIDGE ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012620",
            "telephone_number": "740-775-9995",
            "fax_number": "740-775-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N BRIDGE ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012620",
            "telephone_number": "740-775-9995",
            "fax_number": "740-775-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "2310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000346129",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187146",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Ann Kirkbride, RN
• Wilfred Kirkbride
• Vincent Kirkhart, PA-C
• Kimberly Elaine Kiser, LPN
• Tasha Kisor, MSW
• Rudovic Kiwanuka
• Ethan Scott Kline, RN
• Kelly Jo Kline
• Brenda Roxanna Knece
• Hayley Knight

• Rehabilitation Chiropractor in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Rehabilitation Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.