Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Mitchell

Individual provider Contractor · NPI 1891064085

Kelly Mitchell is a Contractor in Tustin, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011
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Practice location Address checks out

15194 21 Mile Rd
Tustin, MI 49688-8545
Phone: (231) 829-3098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence AF670015175 (MI)

Record details

NPI number1891064085
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2011
Last updated in NPPESDecember 19, 2011

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