Individual
DR. CAROL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1640 BRYAN STATION RD STE 1, LEXINGTON, KY 40505-2144
(859) 288-2425
(859) 721-3918
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 288-7510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25327
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64253271
—
KY
Enumeration date
07/18/2005
Last updated
05/20/2019
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