Kirk Gordon Mitchell
Contractor, Home Modifications in Ogilvie, MN. Individual provider (NPI-1).
NPI number1245076017
StatusActive
Last updated in NPPESJul 2, 2024
Details
- NPI
- 1245076017
- Entity type
- Individual (NPI-1)
- Name
- Kirk Gordon Mitchell
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2024
- Certification date
- Jul 2, 2024
- Last updated
- Jul 2, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171WH0202X | Contractor, Home Modifications | – | – | Yes |
Practice location
1367 180th AveOgilvie, MN 56358-9081
Phone 320-345-0915
Mailing address
1367 180th AveOgilvie, MN 56358-9081
Phone 320-345-0915
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