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Individual

DR. BONNIE MITCHELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 ROSE ST., LEXINGTON, KY 40536-0001
(859) 323-5425
Mailing address
138 LEADER AVENUE, LEXINGTON, KY 40536-0001
(859) 257-7910

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
21265
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64212657
KY
Enumeration date
04/20/2006
Last updated
07/08/2007
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