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)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