Individual
KENNETH P MITCHELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
288 LYMAN ST, WESTBOROUGH STATE HOSPITAL, WESTBOROUGH, MA 01581-2633
(508) 616-3503
(508) 616-3599
Mailing address
288 LYMAN ST, WESTBOROUGH STATE HOSPITAL, WESTBOROUGH, MA 01581-2633
(508) 616-3503
(508) 616-3599
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
80748
MA
Other
Enumeration date
09/25/2006
Last updated
07/18/2007
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