Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUDITH K MICKELSON, M.D.
ActiveDR. JUDITH K MICKELSON, M.D. is a Cardiovascular Disease healthcare provider located in COTTLEVILLE, Missouri. NPI 1700876190 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · COTTLEVILLE, MO
Registration Details
- NPI Number
- 1700876190
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2005 (20.83159360591 yrs)
- Last Updated
- Mar 12, 2025
- Licenses
-
35-078636 (OH)MD24100 (ME)35-078636 (OH)2017039388 (MO)
Practice Information
- Address
-
117 TRAIL CREEK CTCOTTLEVILLE, MO, 633047594Browse MO providers · Browse ZIP 63304
- Phone
- 5135430595
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Specialist
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Cardiovascular Disease
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.