Most Relevant Information
Provider Data
| NPI Number: | 1003670001 |
| Provider Name: | JANETTA KITCHKO PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 0010-13983 |
Most Important Dates
| Enumeration Date: | 02/09/2024 |
| Last Updated: | 07/15/2024 |
Provider Practice Location
1001 BLYTHE BLVD
MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE
NC
282035866
Practice Location Phone/Fax
| Phone: | 7043818840 |
| Fax: |
Provider Mailing Location
PO BOX 19305
CHARLOTTE
NC
282199305
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |