Kathleen J. Mitcham MPAS, PA-C
Medical Physician Assistant in Box Elder, MT(View on Map)
Full Name
Kathleen J Mitcham MPAS, PA-C
NPI Number
1366504540
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/14/2006
Specialties
(Taxonomies)Licenses
State
Iowa
License Number
001462
Contact
Information
Purpose
Mailing
Location
Address
535 CLINIC RD E
535 CLINIC RD E
City
Box Elder
Box Elder
State
MT
MT
Postal Code
59521-8826
59521-8826
Country
US
US
Telephone Number
(406) 395-4486
(406) 395-4486
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/01/2012