Mitchell, Kidada A

Mitchell, Kidada A is an individual health care provider with primary practice located at 3816 S Clear Creek Rd Suite B, Killeen TX 76549-4400. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mitchell, Kidada A can be contacted via phone (254) 699-3933.

Contact Information

Primary practice address
3816 S Clear Creek Rd Suite B Killeen TX 76549-4400
Phone: (254) 699-3933
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 117012 Texas

Profile Details

NPI number 1972587632
LBN Legal business name Mitchell, Kidada A
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Sep 5th, 2008 - about 16 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 1972587632 NPPES
Texas Other 8T1272 BCBS

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