Individual
DR. KENNETH J MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
464 WEST 145TH STREET, NEW YORK, NY 10031
(212) 281-8800
(212) 281-8863
Mailing address
PO BOX 619, NEW YORK, NY 10031
(212) 281-8800
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003524
NY
Other
Enumeration date
07/17/2006
Last updated
09/09/2008
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