Individual
ANDRE L MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9314 N KENTUCKY AVE, KANSAS CITY, MO 64157-8562
(763) 438-3554
Mailing address
9314 N KENTUCKY AVE, KANSAS CITY, MO 64157-8562
(763) 438-3554
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2016040628
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043859
PREFERRED ONE
—
01
—
132962
U CARE
—
01
—
2366396
ARAZ GROUP AMERICAS PPO
—
01
—
2400184
MEDICA HEALTH PLANS
—
01
—
386K5MI
BLUE CROSS BLUE SHIELD
—
01
—
716123900
MEDICAL ASSISTANCE
—
01
—
FAC#498RICE
BLUE CROSS BLUE SHIELD
—
01
—
HP53834
HEALTH PARTNERS
—
Enumeration date
11/07/2005
Last updated
01/22/2024
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