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1932490554
MICHAEL THOMAS KITCHELL
SHREVEPORT, LA
NPI
1932490554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA MD.206535)
Enumeration Date
2011-04-30
Last Update Date
2024-05-08
Business Address
MICHAEL THOMAS KITCHELL MD
8383 MILLICENT WAY
SHREVEPORT, LA 71115-5207
Phone number: 318-797-6661
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Mailing Address
MICHAEL THOMAS KITCHELL MD
1666 E BERT KOUN LOOP STE 105
SHREVEPORT, LA 71105-5718
Phone number: 318-212-3520
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