Individual
KADEAN ALICIA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 S MAIN ST STE 1300, MEMPHIS, TN 38103-5513
(866) 949-0108
Mailing address
40 S MAIN ST STE 1300, MEMPHIS, TN 38103-5513
(866) 949-0108
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309065
NY
363LA2200X
Adult Health Nurse Practitioner
F309065-1
NY
Other
Enumeration date
06/24/2019
Last updated
04/21/2022
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