Healthcare Provider Details

I. General information

NPI: 1902353980
Provider Name (Legal Business Name): SOMER K MITCHELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SOMER K ROBINSON APRN

II. Dates (important events)

Enumeration Date: 09/07/2016
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 VERSAILLES RD
LEXINGTON KY
40504-1402
US

IV. Provider business mailing address

1830 VERSAILLES RD
LEXINGTON KY
40504-1402
US

V. Phone/Fax

Practice location:
  • Phone: 859-347-2412
  • Fax: 859-346-4641
Mailing address:
  • Phone: 859-347-2412
  • Fax: 859-346-4641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number3010275
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number3010275
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: