Keiffer Jackson Mitchell M.D.

NPI 1053363945 - Internal Medicine - 207RG0100X

NPI Details
NPI 1053363945
Gender Male
Enumeration Date 05/17/2006
Last Updated 08/14/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1230 DRUID HILL AVE
BALTIMORE MD, 21217-3031, US
Phone (410) 728-8800
Fax (410) 728-3974
Business Location
515 FAIRMOUNT AVE
CREDENTIALING DEPARTMENT
TOWSON MD, 21286-5466, US
Phone (410) 477-4525
Fax (410) 494-1361
Toxanomy
Taxonomy Code 207RG0100X
License State Maryland
License Number D08143
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According to our database, Keiffer Jackson Mitchell M.D. NPI is 1053363945, taxonomy code is 207RG0100X and license number is D08143, license state is located at Maryland. Keiffer Jackson Mitchell M.D. physically located at 1230 Druid Hill Ave, Baltimore MD, 21217-3031. NPI Number Keiffer Jackson Mitchell M.D. has the Individual type.

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1053363945 NPI number is provided on an as is basis without warranty of any kind. 1053363945 is maintained by the National Plan & Provider Enumeration System. The contents of Keiffer Jackson Mitchell M.D. are for informational purposes only.