Doctor Name: | KIM ANTOINETTE MITCHELL-SILVER |
NPI Number: | 1598951279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 19977 |
Business Practice Address: | 346 N Main St Decatur, AR - 727229732 |
Business Phone Number: | 4797523233 |
Business Fax Number: | 4797523235 |
Mailing Address: | 346 N Main St, DECATUR |
State: | AR |
Postal Code: | 727229732 |
Phone Number: | 4797523233 |
Fax Number: | 4797523235 |
NPI Enumeration Date: | 09/17/2007 |
NPI Last Update Date: | 08/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 19977 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |