person
Kory Lance Mitchell, ACUTECARENURSEPRA
Acute Care Nurse Practitioner in Lubbock, Texas
NPI 1588735104

Kory Lance Mitchell is an Acute Care Nurse Practitioner based in Lubbock, TX and is specialized in Acute Care. Kory Lance Mitchell practices in Lubbock, TX and has the professional credentials of ACUTECARENURSEPRA. The NPI Number for Kory Lance Mitchell is 1588735104 and holds a License No. 663921 (Texas).

The current practice location address for Kory Lance Mitchell is 3502 9Th St Ste 260, Lubbock, TX and can be reached out via phone at 806-792-8185 and via fax at 806-792-9180. You can also correspond with Kory Lance Mitchell through the mailing address at 5219 CITY BANK PKWY STE 35, LUBBOCK, TX - 79407 (mailing address contact number: 806-761-0333).

Location: 3502 9Th St Ste 260, Lubbock, TX, 79407
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Provider Profile Details
NPI Number
1588735104
Provider Name
Kory Lance Mitchell
Credential
ACUTECARENURSEPRA
Provider Entity Type
Individual
Gender
Male
Address
3502 9Th St Ste 260, Lubbock, TX, 79407
Phone Number
806-792-8185
Fax Number
806-792-9180
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8Y1753 01 TX BCBS OF TEXAS
45939268 05 NM
8Y5044 01 TX BCBS OF TEXAS
151566101 01 FIRSTCARE
institution
Provider Business Practice Location Address Details
Address
3502 9Th St Ste 260
City
State
Zip
79415-5305
Phone Number
806-792-8185
Fax Number
806-792-9180
person
Provider Business Mailing Address Details
Address
3502 9Th St Ste 260
City
State
Zip
79415-5305
Phone Number
806-792-8185
Fax Number
806-792-9180
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
License No.
AP114881 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
663921 (Texas)
Definition
Definition to come...
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