Mitchell, Charlene Kay

Mitchell, Charlene Kay is an individual health care provider with primary practice located at 401 E Chestnut St Unit 310 , Louisville KY 40202-5703. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mitchell, Charlene Kay can be contacted via phone (502) 589-6788.

Contact Information

Primary practice address
401 E Chestnut St Unit 310 Louisville KY 40202-5703
Phone: (502) 589-6788
Fax: (502) 589-5093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26295 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26295 Kentucky

Profile Details

NPI number 1093718074
LBN Legal business name Mitchell, Charlene Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Apr 6th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093718074 NPPES
Kentucky MEDICAID 64262959

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