person
Dr. Robert H Mitchell JR., MD
Specialist in Kokomo, Indiana
NPI 1467425736

Robert H Mitchell JR. is a Specialist based in Kokomo, IN. Robert H Mitchell JR. practices in Kokomo, IN and has the professional credentials of MD. The NPI Number for Robert H Mitchell JR. is 1467425736 and holds a License No. 01035052 (Indiana).

The current practice location address for Robert H Mitchell JR. is 2347 W Lincoln Rd, Kokomo, IN and can be reached out via phone at 765-455-4086 and via fax at 765-455-4078.

Location: 2347 W Lincoln Rd, Kokomo, IN, 46902-8012
person
Provider Profile Details
NPI Number
1467425736
Provider Name
Robert H Mitchell JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2347 W Lincoln Rd, Kokomo, IN, 46902-8012
Phone Number
765-455-4086
Fax Number
765-455-4078
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01035052 01 IN STATE LICENSE NUMBER
10784502 01 IN CAQH PROVIDER NUMBER
000000086375 01 IN BLUE SHIELD NUMBER
institution
Provider Business Practice Location Address Details
Address
2347 W Lincoln Rd
City
State
Zip
46902-8012
Phone Number
765-455-4086
Fax Number
765-455-4078
person
Provider Business Mailing Address Details
Address
2347 W Lincoln Rd
City
State
Zip
46902-8012
Phone Number
765-455-4086
Fax Number
765-455-4078
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
01035052 (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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