Individual
KRISTEN N MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
13 INDUSTRIAL PARK ROAD, SACO, ME 04072
(207) 283-8800
(207) 286-9853
Mailing address
P.O. BOX 626, ONE MEDICAL CENTER DRIVE,, BIDDEFORD, ME 04005
(207) 282-9080
(207) 282-9180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D02177
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558561332
ANTHEM
ME
05
—
1558561332
—
ME
Enumeration date
07/20/2007
Last updated
11/27/2013
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