IndividualActive
Kameron Mitchell, CPO
NPI 1184449613 · Prosthetist · Fort Wayne, IN
Provider details
- NPI number
- 1184449613
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthotist222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5505 Coventry Ln
Fort Wayne, IN 46804-7144
Phone: (317) 522-6380
Approximate (ZIP-level) locationGet directions
Mailing address
3236 Copper Hill Run
Fort Wayne, IN 46804-3425
Registry dates
- Enumerated
- 2024-11-19
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.