Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN J MITCHAM, MPAS, PA-C
ActiveKATHLEEN J MITCHAM, MPAS, PA-C is a Medical Physician Assistant healthcare provider located in BOX ELDER, Montana. NPI 1366504540 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BOX ELDER, MT
Registration Details
- NPI Number
- 1366504540
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2006 (19.625160878546 yrs)
- Last Updated
- Mar 1, 2012
- License
-
001462 (IA)
Practice Information
- Address
-
535 CLINIC RD EBOX ELDER, MT, 595218826Browse MT providers · Browse ZIP 59521
- Phone
- 4063954486
- Fax
- 4063955850
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.