Individual
MICHAEL KEITH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Mailing address
118 BEECH LOOP, BUCKHANNON, WV 26201-5403
(304) 841-4495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112626
WV
Other
Enumeration date
04/24/2022
Last updated
04/24/2022
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