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Kelly Mitchell
NPI 1891064085 · on the registry since 2011 · sole proprietor
Practice
- Address
- 15194 21 Mile Rd
Tustin, MI 49688 - Phone
- (231) 829-3098
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan