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Individual

MRS. KIMBERLY RAYE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
278 S BROADVIEW ST, SUITE B-3, GREENBRIER, AR 72058
(501) 843-7511
(501) 273-0886
Mailing address
278 S BROADVIEW ST, SUITE B-3, GREENBRIER, AR 72058
(501) 402-1200
(501) 273-0886

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2376
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120426722
AR
Enumeration date
10/26/2005
Last updated
02/18/2026
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