Kenneth Mitchell, D.MGMT

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

F05850 Issued in NC

Practice address

517 Todd St
Durham, NC 27704-1823

Phone

(919) 416-1736

Fax

(919) 416-1729

NPI assigned

Dec 13, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1376974584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 W CLUB BLVD",
            "address_2": "SUITE 6-661",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011104",
            "telephone_number": "919-416-1736",
            "fax_number": "919-416-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 TODD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041823",
            "telephone_number": "919-416-1736",
            "fax_number": "919-416-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.MGMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NC",
            "license": "F05850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Thomas Mitchell
• Kalie Brooke Mitchell
• Kara Mitchell, MS,RD/LDN,ACSM-RCEP
• Kate Lawrence Mitchell, MD
• Kelsie Mitchell
• Kyle Todd Mitchell, M.D.
• Lori C Mitchell, OTA/L
• Lydia Darlud Mitchell, M.D.
• Nia Michaela Mitchell
• Saige Mackenzie Mitchell

• Case Manager/Care Coordinator in Durham, NC
• Providers in Durham, NC by specialty
• Case Manager/Care Coordinator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.