Kelly Mitchell
Contractor · Tustin, MI
Practice location
15194 21 Mile RdTustin, MI 49688-8545
- Phone
- (231) 829-3098
NPI record
- NPI
- 1891064085
- Entity type
- Individual (Type 1)
- Enumeration date
- December 19, 2011
- Last updated
- December 19, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
AF670015175 | MI |
About Kelly Mitchell
Kelly Mitchell is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 15194 21 Mile Rd, Tustin, MI 49688-8545. The NPI number 1891064085 was assigned on December 19, 2011 and the record was last updated on December 19, 2011.
Kelly Mitchell lists a license in the registry: #AF670015175 (MI) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kelly Mitchell?
The NPI number is 1891064085.
What is the phone number of Kelly Mitchell?
The phone number listed for the practice location is (231) 829-3098.
Where is Kelly Mitchell located?
15194 21 Mile Rd, Tustin, MI 49688-8545.
What is the taxonomy code for Kelly Mitchell?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Contractor providers in Tustin
- Bridget Renee Johnson20090 210TH Ave