NPI 1073910857

Kiah Mitchell, LPN

Practitioner Nursing Facility/Intermediate Care Facility Valley Stream, NY

Practice location

Address: 723 Caroline Ave, Valley Stream, NY 11580-1226
Phone: (516) 872-4251

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 299726-1 (NY)

Other Nursing Facility/Intermediate Care Facility providers in New York →

Registry record

NPI: 1073910857
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Nov 2014
Record last updated: 22 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.