Individual
SAMANTHA LEE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
210 E GRAY ST STE 900, LOUISVILLE, KY 40202-3905
(502) 584-7525
(502) 584-6851
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
02/02/2023
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