Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MITCHELL
Active Sole ProprietorKELLY MITCHELL is a Contractor healthcare provider located in TUSTIN, Michigan. NPI 1891064085 is currently active in the NPPES registry. Verify at CMS.
Contractor · TUSTIN, MI
Registration Details
- NPI Number
- 1891064085
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 19, 2011 (14.685722585856 yrs)
- Last Updated
- Dec 19, 2011
- License
-
AF670015175 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15194 21 MILE RDTUSTIN, MI, 496888545Browse MI providers · Browse ZIP 49688
- Phone
- 2318293098
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in TUSTIN, MI
| Name | Credential | NPI |
|---|---|---|
| BRIDGET RENEE JOHNSON | — | 1578833919 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.