Individual
J KEITH MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 HIGHWAY 71 N, DE QUEEN, AR 71832-3706
(870) 642-8818
(844) 284-1064
Mailing address
PO BOX 351, DE QUEEN, AR 71832-0351
(870) 642-8818
(844) 284-1064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-8135
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125229001
—
AR
01
—
5J334
BLUE CROSS BLUE SHEILD
AR
Enumeration date
07/11/2005
Last updated
04/03/2025
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