Individual
MRS. KATHLEEN BERNICE MITCHELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9132
(804) 734-9594
Mailing address
3815 PLANTATION CT, PETERSBURG, VA 23803-9444
(804) 722-1461
(804) 722-1461
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
214688
CA
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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