IndividualActive
Kelley Mitchell, CDH
NPI 1689346652 · Dental Hygienist · Shawnee, KS
Provider details
- NPI number
- 1689346652
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- CDH
- Sex
- Female
- Sole proprietor
- No
- License
- 12702 (KS)
Specialties & taxonomies
Dental Providers
Practice location
11644 W 75th St Ste 101
Shawnee, KS 66214-1300
Phone: (913) 962-0036
Approximate (ZIP-level) locationGet directions
Mailing address
7119 W 72nd St
Overland Park, KS 66204-1936
Registry dates
- Enumerated
- 2021-09-29
- Last updated
- 2021-09-29
- Certified
- 2021-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.