Mitchell, Kyle Darren

Mitchell, Kyle Darren is an individual health care provider with primary practice located at 1455 Bells Ferry Road Suite 100, Marietta GA 30066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitchell, Kyle Darren can be contacted via phone (770) 421-8094.

Contact Information

Primary practice address
1455 Bells Ferry Road Suite 100 Marietta GA 30066
Phone: (770) 421-8094
Fax: (770) 421-8096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 051689 Georgia

Profile Details

NPI number 1316928138
LBN Legal business name Mitchell, Kyle Darren
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Mar 8th, 2023 - about last year

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 1316928138 NPPES
Georgia MEDICAID 000967843E
Georgia MEDICAID 000967843I

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