Kelly Marie Mitchell, is a
Registered Nurse based in Vicksburg, Michigan. Kelly Marie Mitchell is licensed to practice in Michigan (license number 4704273546) and her current practice location is
1012 W Villas Dr, Vicksburg, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 337-7343.
NPI number for Kelly Marie Mitchell is 1528676061 and her current mailing address is 1012 W Villas Dr, Vicksburg, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528676061.
Provider's Profile
Full Name | Kelly Marie Mitchell |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 1012 W Villas Dr, Vicksburg, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528676061
- Provider Enumeration Date: 07/21/2020
- Last Update Date: 07/21/2020
Medical Identifiers
Medical identifiers for Kelly Marie Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528676061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 4704273546 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Marie Mitchell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Marie Mitchell, 1012 W Villas Dr, Vicksburg, MI 49097-9626 Ph: (586) 337-7343 | Kelly Marie Mitchell, 1012 W Villas Dr, Vicksburg, MI 49097-9626 Ph: (586) 337-7343 |
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