Individual
KRISTIN MILDRED MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
247 N FIREWEED, STE A PENINSULA INTERNAL MEDICINE PC, SOLDOTNA, AK 99669-7593
(907) 262-8597
(907) 262-6516
Mailing address
247 N FIREWEED, STE A, SOLDOTNA, AK 99669-7593
(907) 262-8597
(907) 262-6516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4159
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110177356
RAILROAD MEDICARE
—
05
—
MD0720
—
AK
Enumeration date
06/20/2006
Last updated
07/22/2020
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