person
Andre L Mitchell, MD
General Practice Physician in Kansas City, Missouri
NPI 1902887037

Andre L Mitchell is a General Practice Physician based in Kansas City, MO. Andre L Mitchell practices in Kansas City, MO and has the professional credentials of MD. The NPI Number for Andre L Mitchell is 1902887037 and holds a License No. 2016040628 (Missouri).

The current practice location address for Andre L Mitchell is 9314 N Kentucky Ave, Kansas City, MO and can be reached out via phone at 763-438-3554. You can also correspond with Andre L Mitchell through the mailing address at 9314 N KENTUCKY AVE, KANSAS CITY, MO - 64157-8562 (mailing address contact number: 763-438-3554).

Location: 9314 N Kentucky Ave, Kansas City, MO, 64157-8562
person
Provider Profile Details
NPI Number
1902887037
Provider Name
Andre L Mitchell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9314 N Kentucky Ave, Kansas City, MO, 64157-8562
Phone Number
763-438-3554
Fax Number
Provider Enumeration Date
11/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
132962 01 U CARE
1043859 01 PREFERRED ONE
2400184 01 MEDICA HEALTH PLANS
FAC#498RICE 01 BLUE CROSS BLUE SHIELD
386K5MI 01 BLUE CROSS BLUE SHIELD
2366396 01 ARAZ GROUP AMERICAS PPO
HP53834 01 HEALTH PARTNERS
716123900 01 MEDICAL ASSISTANCE
institution
Provider Business Practice Location Address Details
Address
9314 N Kentucky Ave
City
State
Zip
64157-8562
Phone Number
763-438-3554
Fax Number
person
Provider Business Mailing Address Details
Address
9314 N Kentucky Ave
City
State
Zip
64157-8562
Phone Number
763-438-3554
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
2016040628 (Missouri)
Definition
Definition to come...
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