Provider Demographics
NPI:1518914548
Name:MITCHELL, SARA MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:MICHELLE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:MICHELLE
Other - Last Name:MITCHELL-LEHMKUHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:9456 RENNER BLVD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-9703
Mailing Address - Country:US
Mailing Address - Phone:913-948-5230
Mailing Address - Fax:888-958-6802
Practice Address - Street 1:9456 RENNER BLVD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-9703
Practice Address - Country:US
Practice Address - Phone:913-948-5230
Practice Address - Fax:888-958-6802
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor