Individual
SUSAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.PED
Contact information
Practice address
400 E RED BRIDGE RD STE 305, KANSAS CITY, MO 64131-4031
(816) 943-6469
(816) 943-6456
Mailing address
1769 POINT HAPPY DR, CAMDENTON, MO 65020-6603
(816) 806-4773
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
CPED2175
MO
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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