Search › Kentucky › 163WX0106X
Mark Mitchum
NPI 1992512479 · on the registry since 2024
Practice
- Address
- 2022 Battery Park Dr
Glendale, KY 42740 - Phone
- (859) 314-3670
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 163WX0106X
163WX0106X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky