Individual provider Active NPI

Kenneth Kitchen

  • Clinical Exercise Physiologist
  • Northfield, OH
National Provider Identifier
1861009763
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
Practice address
285 E Twinsburg Rd
Northfield, OH 44067-3070
Phone
(440) 545-5473
NPI assigned
Sep 25, 2020
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X Primary

Addresses

Primary practice location

285 E Twinsburg Rd
Northfield, OH 44067-3070

Mailing address

285 E Twinsburg Rd
Northfield, OH 44067-3070
Phone (440) 545-5473

Other practice location 1

285 E Twinsburg Rd
Northfield, OH 44067-3070
Phone (440) 545-5473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1861009763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E TWINSBURG RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440673070",
            "telephone_number": "440-545-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E TWINSBURG RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440673070",
            "telephone_number": "440-545-5473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 E Twinsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "OH",
            "postal_code": "440673070",
            "country_code": "US",
            "telephone_number": "440-545-5473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.