Individual
DR. KENNETH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MGMT
Contact information
Practice address
517 TODD ST, DURHAM, NC 27704-1823
(919) 416-1736
(919) 416-1729
Mailing address
1058 W CLUB BLVD, SUITE 6-661, DURHAM, NC 27701-1104
(919) 416-1736
(919) 416-1729
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F05850
NC
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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