Mitchell, Kenneth Dernell
Mitchell, Kenneth Dernell is an sole proprietor health care provider with primary practice located at 23999 Northwestern Hwy Suite 220A, Southfield MI 48075-2578. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mitchell, Kenneth Dernell can be contacted via phone (248) 996-6465.Contact Information
Primary practice address
23999 Northwestern Hwy Suite 220A
Southfield MI 48075-2578
Phone: (248) 996-6465
Fax: (248) 996-6469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 5901001869 | Michigan |
Profile Details
| NPI number | 1144390873 |
|---|---|
| LBN Legal business name | Mitchell, Kenneth Dernell |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Oct 22nd, 2013 - about 11 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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