IndividualActive
Kenneth Mitchell, MD
NPI 1477542850 · Obesity Medicine (Family Medicine) Physician · Niceville, FL
Provider details
- NPI number
- 1477542850
- Entity type
- Individual
- Primary specialty
- Obesity Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME48856 (FL)
Practice location
2600 Partin Dr N Ste 110
Niceville, FL 32578-1543
Phone: (850) 517-6578
Mailing address
910 Royce St
Pensacola, FL 32503-2464
Registry dates
- Enumerated
- 2005-10-18
- Last updated
- 2021-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.