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Individual

PETER JOSIAH TRUNG MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5000
Mailing address
1016 S CARDINAL PL, OLATHE, KS 66062-2140
(913) 963-5286

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
KS

Other

Enumeration date
01/29/2026
Last updated
01/29/2026
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