Mitzen, Kelly

Mitzen, Kelly is an individual health care provider with primary practice located at 401 Carpenter Rd , Fort Myer VA 22211-1009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mitzen, Kelly can be contacted via phone (703) 966-7935.

Contact Information

Primary practice address
401 Carpenter Rd Fort Myer VA 22211-1009
Phone: (703) 966-7935
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002992 Virginia

Profile Details

NPI number 1073584777
LBN Legal business name Mitzen, Kelly
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 30th, 2024 - about 2 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 1073584777 NPPES
Other 1073584777 NPI

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