Bruce Kitchen, LMP is a
Massage Therapist based in Hayden Lake, Idaho. Bruce Kitchen is licensed to practice in Idaho (license number MASG-1028) and his current practice location is
13403 N Government Way, Hayden Lake, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 215-9372.
NPI number for Bruce Kitchen is 1316369861 and his current mailing address is 23203 E Killarney Lake Rd, Cataldo, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316369861.
Healthcare Provider's Profile
| Full Name | Bruce Kitchen |
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| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 13403 N Government Way, Hayden Lake, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316369861
- Provider Enumeration Date: 01/16/2014
- Last Update Date: 01/16/2014
Medical Identifiers
Medical identifiers for Bruce Kitchen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316369861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MASG-1028 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bruce Kitchen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bruce Kitchen, LMP
23203 E Killarney Lake Rd,
Cataldo, ID 83810-9324
Ph: () - | Bruce Kitchen, LMP
13403 N Government Way,
Hayden Lake, ID 83835-9460
Ph: (208) 215-9372 |
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