Individual
DR. KENNETH DERNELL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
23999 NORTHWESTERN HWY, SUITE 220A, SOUTHFIELD, MI 48075-2578
(248) 996-6465
(248) 996-6469
Mailing address
23999 NORTHWESTERN HWY, SUITE 220A, SOUTHFIELD, MI 48075-2578
(248) 996-6465
(248) 996-6469
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001869
MI
Other
Enumeration date
11/09/2006
Last updated
10/22/2013
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