NPI 1811623762
Shaunquette Mitchell
Practice location
- Address
- 2541 W Main St, Louisville, KY 40212-1530
- Phone
- (859) 444-2553
- Mailing address
- 2014 Saint Louis Ave, Louisville, KY 40210-1620
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1811623762
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Jul 2022
- Record last updated
- 25 Jul 2022
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.