IndividualActive
Kevin Mitchell, MBBS
NPI 1366837718 · Nephrology Physician · Meridian, ID
Provider details
- NPI number
- 1366837718
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MBBS
- Sex
- Male
- Sole proprietor
- Yes
- License
- M-16029 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3525 E Louise Dr Ste 195
Meridian, ID 83642-6303
Phone: (208) 846-8335
Approximate (ZIP-level) locationGet directions
Mailing address
3525 E Louise Dr Ste 195
Meridian, ID 83642-6303
Registry dates
- Enumerated
- 2015-04-02
- Last updated
- 2021-12-13
- Certified
- 2021-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.