Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH ALLEN MITCHELL, PA-C
ActivePhysician Assistant · WOODBURY, MN
Registration Details
- NPI Number
- 1922096379
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2005 (20.529191841693 yrs)
- Last Updated
- Apr 5, 2021
- Licenses
-
PA970 (AR)10025 (MN)
Practice Information
- Address
-
6025 LAKE RDSUITE 200WOODBURY, MN, 551251712Browse MN providers · Browse ZIP 55125
- Phone
- 6519996800
- Fax
- 6519996830
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WOODBURY, MN
| Name | Credential | NPI |
|---|---|---|
| TODD JERAMIE HOLTER | PAC | 1396742896 |
| MRS. JODI LYN BAUMGARTNER | PA-C | 1689668303 |
| CHRISTOPHER WILLIAM DUESMAN | PA-C | 1750379103 |
| MS. EUNICE LEE | PA | 1053301036 |
| DARREL L COTCH | PA | 1164495016 |
| JENNIFER SUSAN ELLIS | PA-C | 1013986611 |
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.