Individual
KEVIN JEFFREY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 MOWRY AVE, FREMONT, CA 94538-1716
(510) 248-1018
Mailing address
2000 MOWRY AVE, FREMONT, CA 94538-1716
(510) 248-1018
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
G86712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G867120
—
CA
Enumeration date
05/30/2006
Last updated
08/07/2025
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