Kenneth Allen Mitchell in Woodbury - Physician Assistant
Kenneth Allen Mitchell - NPI 1922096379
Kenneth Allen Mitchell is a Physician Assistant in Woodbury, Minnesota. Kenneth Allen Mitchell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kenneth Allen Mitchell is 1922096379. The last update date is 2021-04-05.
Kenneth Allen Mitchell's current location address is 6025 Lake Rd, Woodbury, Minnesota. You can contact this provider via phone number 6519996800 and fax number 6519996830. The mailing address for Kenneth Allen Mitchell is 6025 Lake Rd, Woodbury, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Allen Mitchell |
|---|---|
| Address | 6025 Lake Rd, Woodbury, Minnesota |
| Phone Number | 6519996800 |
| Fax Number | 6519996830 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1922096379 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2021-04-05 |
Provider Mailing Address Detail
| Address | 6025 Lake Rd |
|---|---|
| City | Woodbury |
| State | Minnesota (MN) |
| Post Code | 551251712 |
| Phone Number | 6519996800 |
| Fax Number | 6519996830 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA970 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 534141800 | MN | -- |
Post Comment/ Review Below
What is the Kenneth Allen Mitchell's 1922096379?
The Kenneth Allen Mitchell's NPI (National Provider Identifier) Number is 1922096379. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenneth Allen Mitchell located?
The Kenneth Allen Mitchell is located at 6025 Lake Rd, Woodbury, MN 551251712.
What is Kenneth Allen Mitchell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth Allen Mitchell is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did Kenneth Allen Mitchell receive its 1922096379 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Allen Mitchell was assigned its 1922096379 on 2005-10-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Kenneth Allen Mitchell's information last updated?
The Kenneth Allen Mitchell's information was last updated on 2021-04-05.