Individual
KRISTEN MICHELE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4171
Mailing address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4171
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
018667
NY
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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