Female

Kelley Mitchell CDH

Dental Hygienist in Shawnee, KS(View on Map)

Full Name

Kelley Mitchell CDH

NPI Number

1689346652

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/29/2021

Specialties

(Taxonomies)

Code

124Q00000X

Primary Taxonomy

Yes

Licenses

State

Kansas

License Number

12702

Contact
Information

Purpose

Mailing
Location

Address

7119 W 72ND ST
11644 W 75TH ST STE 101

City

Overland Park
Shawnee

State

KS
KS

Postal Code

66204-1936
66214-1300

Country

US
US

Telephone Number

(310) 363-0720
(913) 962-0036

Identifiers

Identifier

12702

Identifier State

KS

Identifier Issuer

KANSAS DENTAL BOARD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/29/2021

Provider Address