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Mrs. Kelly Mitzen, PA-C

Medical Physician Assistant in Fort Myer, VA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073584777

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Registry record

Entity type Individual (Type 1)
Name Mrs. Kelly Mitzen
Credential PA-C
Sex Female
Practice address 401 Carpenter Rd, Fort Myer, VA, 22211
Enumeration date Jan 30, 2006
Last updated in NPPES Jul 30, 2024

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0110002992 (VA) Primary

Other identifiers

Identifier Type State Issuer
1073584777 Other - NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kelly Mitzen practice?
The practice location on file with NPPES is in Fort Myer, VA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kelly Mitzen?
The National Provider Identifier (NPI) for Kelly Mitzen is 1073584777, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-30.