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Individual

DR. DANIEL S. MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 632-2230
(913) 632-2297
Mailing address
PO BOX 411895, KANSAS CITY, MO 64141-1895
(913) 632-2230
(913) 632-2297

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-27875
KS
208VP0000X
Pain Medicine Physician
04-27875
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100357580A
KS
05
205711211
MO
01
25915012
BCBS KC
KS
01
25915032
BCBS KC
KS
01
50067502
RR MEDICARE
KS
Enumeration date
02/28/2006
Last updated
11/30/2020
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