Kaitlyn Mitchell
Individual provider Active NPI Driver · Indianapolis, IN
NPI 1457038754 · NPPES record last updated Jun 29, 2023
Key facts
- NPI
- 1457038754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 2708 Braxton Dr
Indianapolis, IN 46229-1588 - Phone
- (574) 226-8235
- NPI assigned
- Jun 29, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
2708 Braxton Dr
Indianapolis, IN 46229-1588
Mailing address
2708 Braxton Dr
Indianapolis, IN 46229-1588
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.