Individual provider · Type 1 NPI

Kalen T. Mikell

Specialist · Rockaway Park, NY

NPI number 1972277754 Active

Practice location

446 Beach 128th St
Rockaway Park, NY 11694-1509

Call (917) 923-2093 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1057961 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1972277754

Kalen T. Mikell's National Provider Identifier is 1972277754, issued on Aug 4, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rockaway Park, NY. The record was last updated on Aug 4, 2021.