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NPI Code Detail

MEDICARE: DR. KEVIN COLE MITCHELL D.C.

MEDICARE: DR. KEVIN COLE MITCHELL D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC5177TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1603098OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1083693675
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN COLE MITCHELL D.C.
Provider Business Mailing Address
First Line : 1633 COTTONWOOD
Second Line :
City : ABILENE
State : TX
Zip : 79601-3033
Country : US
Telephone Number : 325-676-1624
Fax Number : 325-676-1678
Provider Business Practice Location Address
First Line : 1633 COTTONWOOD
Second Line :
City : ABILENE
State : TX
Zip : 79601-3033
Country : US
Telephone Number : 325-676-1624
Fax Number : 325-676-1678
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 06/17/2014

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