Provider Demographics
NPI:1447518675
Name:KITCHIN, HEIDI E (ITFS, MS, MA)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:E
Last Name:KITCHIN
Suffix:
Gender:F
Credentials:ITFS, MS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3124 SUGAR MOUNTAIN 1 RD
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657-8003
Mailing Address - Country:US
Mailing Address - Phone:828-737-9532
Mailing Address - Fax:828-737-9532
Practice Address - Street 1:3124 SUGAR MOUNTAIN 1 RD.
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-8003
Practice Address - Country:US
Practice Address - Phone:828-737-9532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health