Individual
KENNETH PAUL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 PARTIN DR N STE 110, NICEVILLE, FL 32578-1543
(850) 517-6578
Mailing address
910 ROYCE ST, PENSACOLA, FL 32503-2464
(850) 444-4997
(850) 444-4992
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
ME48856
FL
207VG0400X
Gynecology Physician
ME48856
FL
Other
Enumeration date
10/18/2005
Last updated
01/12/2021
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