Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Allen Mitchell, PA-C

Individual provider Physician Assistant · NPI 1922096379

Kenneth Allen Mitchell, PA-C is a Physician Assistant in Woodbury, Minnesota. Licensed in Arkansas and Minnesota. Registered with an NPI since 2005.

Licensed in
AR, MN
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6025 Lake Rd Ste 200
Woodbury, MN 55125-1712
Phone: (651) 999-6800
Fax: (651) 999-6830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA970 (AR)
Physician Assistant Taxonomy 363A00000X · Licence 10025 (MN)

Record details

NPI number1922096379
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2005
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021

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