Mitchell, Kelly T.

Mitchell, Kelly T. is an individual health care provider with primary practice located at 3601 4Th St 2A100, Lubbock TX 79430-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mitchell, Kelly T. can be contacted via phone (806) 743-2020.

Contact Information

Primary practice address
3601 4Th St 2A100 Lubbock TX 79430-0002
Phone: (806) 743-2020
Fax: (806) 743-1782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X L1942 Texas

Profile Details

NPI number 1811988751
LBN Legal business name Mitchell, Kelly T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jan 6th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811988751 NPPES
Texas MEDICAID 144792205
Texas MEDICAID 144792206
Texas MEDICAID 81940
Texas MEDICAID 200013870A
Texas Other 87410Z
Texas MEDICAID 08534730
Texas Other 8G7982
Texas MEDICAID 101449101
Texas Other 81940
Texas Other A582
Texas Other 101449100

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