Individual
MRS. KIMBERLY KAY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
13483 BEESON ST NE, SUITE #1, ALLIANCE, OH 44601
(330) 823-4911
(330) 823-4911
Mailing address
13483 BEESON ST NE, #2, ALLIANCE, OH 44601
(330) 823-4911
(330) 823-4911
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400237990503
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400237990503
—
OH
Enumeration date
03/27/2007
Last updated
07/09/2007
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