Mitchell, Keith Wallace

Mitchell, Keith Wallace is an individual health care provider with primary practice located at 118 Northport Ave , Belfast ME 04915-6072. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Emergency. Nursing Service Providers / Emergency is his primary health care specialty. Mitchell, Keith Wallace can be contacted via phone (207) 505-4123.

Contact Information

Primary practice address
118 Northport Ave Belfast ME 04915-6072
Phone: (207) 505-4123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 68085 Maine
Nursing Service Providers / Emergency 163WE0003X 68085 Maine

Profile Details

NPI number 1750169538
LBN Legal business name Mitchell, Keith Wallace
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2023
Last updated Sep 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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