Individual
KATHERINE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6221 COLONEL GLENN RD STE B, LITTLE ROCK, AR 72204-7731
(501) 441-5558
Mailing address
6221 COLONEL GLENN RD STE B, LITTLE ROCK, AR 72204-7731
(501) 441-5558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-2508
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11853000000
QUALCHOICE
AR
05
—
141359001
—
AR
01
—
5L561
AR BLUE CROSS BLUE SHIELD
AR
Enumeration date
11/16/2005
Last updated
12/23/2025
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