Individual
KIRK GORDON MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1367 180TH AVE, OGILVIE, MN 56358-9081
(320) 345-0915
Mailing address
1367 180TH AVE, OGILVIE, MN 56358-9081
(320) 345-0915
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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