Individual
MR. MITCHELL KENNETH FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4884 BELL ST, PORT TOWNSEND, WA 98368-1916
(815) 570-1477
Mailing address
4884 BELL ST, PORT TOWNSEND, WA 98368-1916
(815) 570-1477
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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