Individual
AMANDA DORIS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, M.S., RD
Contact information
Practice address
2520 ROBERT JONES WAY, KALAMAZOO, MI 49009-1904
(269) 552-0420
Mailing address
2520 ROBERT JONES WAY, KALAMAZOO, MI 49009-1904
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
363A00000X
Physician Assistant
Primary
5601006860
MI
363AM0700X
Medical Physician Assistant
5601006860
MI
Other
Enumeration date
08/12/2009
Last updated
12/14/2023
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