Individual
DR. KIRK ERNEST MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5390 SAINT VRAIN RD, LONGMONT, CO 80503-8764
(303) 859-9722
(303) 484-3578
Mailing address
5390 SAINT VRAIN RD, LONGMONT, CO 80503-8764
(303) 859-9722
(303) 484-3578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8019A
WY
207Q00000X
Family Medicine Physician
DR.0049886
CO
207R00000X
Internal Medicine Physician
DR.0049886
CO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
DR.0049886
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08227519
—
CO
Enumeration date
10/10/2008
Last updated
12/02/2021
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