Felisha Love Kitchen, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

051343 Issued in GA

Legal business name

FELISHA LOVE KITCHEN, MD

Practice address

1062 Forsyth St
Suite 2-E
Macon, GA 31201-8637

Phone

(478) 742-5502

Fax

(478) 742-5505

NPI assigned

Jan 4, 2010

Organization subpart

No

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

Authorized official

Name

Felisha L. Kitchen, MD

Title

Owner/Physician

Phone

(478) 742-5502

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1699005231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST",
            "address_2": "SUITE 2-E",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018637",
            "telephone_number": "478-742-5502",
            "fax_number": "478-742-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST",
            "address_2": "SUITE 2-E",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018637",
            "telephone_number": "478-742-5502",
            "fax_number": "478-742-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELISHA LOVE KITCHEN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "KITCHEN",
        "authorized_official_first_name": "FELISHA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "478-742-5502",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "051343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "739099977A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Macon, GA
• Providers in Macon, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.