Individual
SCOTT E MITCHELL
Active
Individual
SCOTT E MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10000118
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108475
ANTHEM
—
01
—
179627
HEALTHLINK
—
05
—
9500121000
—
KY
Enumeration date
05/05/2006
Last updated
05/03/2017
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