Individual
DR. KEVIN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
3525 E LOUISE DR STE 195, MERIDIAN, ID 83642-6303
(208) 846-8335
Mailing address
3525 E LOUISE DR STE 195, MERIDIAN, ID 83642-6303
(208) 846-8335
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M-16029
ID
Other
Enumeration date
04/02/2015
Last updated
12/13/2021
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