Mitchell, Kelly
Mitchell, Kelly is an individual health care provider with primary practice located at 1403 Wall Street , Cullman AL 35055-0000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mitchell, Kelly can be contacted via phone (256) 734-9472.Contact Information
Primary practice address
1403 Wall Street
Cullman AL 35055-0000
Phone: (256) 734-9472
Fax: (256) 734-9272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1051246 | Alabama |
Profile Details
| NPI number | 1184694135 |
|---|---|
| LBN Legal business name | Mitchell, Kelly |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Oct 7th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184694135 | NPPES |
| Alabama | MEDICAID | 000033321 |
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