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DR. KENNETH DERNELL MITCHELL DPM NPI 1144390873


NPI Information

NPI: 1144390873
Provider Name: DR. KENNETH DERNELL MITCHELL, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
23999 NORTHWESTERN HWY
SUITE 220A
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 996-6465
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DR. Kenneth Dernell Mitchell, DPM is a podiatrist in Southfield, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Kenneth Dernell Mitchell, DPM NPI is 1144390873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23999 NORTHWESTERN HWY
SUITE 220A
SOUTHFIELD, MI
ZIP 48075-578
Phone: (248) 996-6465
Fax: (248) 996-6469

The enumeration date for this NPI number is 11/9/2006 and was last updated on 10/22/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist5901001869MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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