Mr Mark Timothy Mitchum, | |
2022 Battery Park Dr, Glendale, KY 42740 | |
(859) 314-3670 | |
Not Available |
Full Name | Mr Mark Timothy Mitchum |
---|---|
Gender | Male |
Speciality | Registered Nurse - Occupational Health |
Location | 2022 Battery Park Dr, Glendale, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992512479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WX0106X | Registered Nurse - Occupational Health | 1112028 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Timothy Mitchum, 311 Hillview Dr, Horse Cave, KY 42749-8048 Ph: (270) 540-1080 | Mr Mark Timothy Mitchum, 2022 Battery Park Dr, Glendale, KY 42740 Ph: (859) 314-3670 |
Jacob Kantor, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2022 Battery Park Dr, Glendale, KY 42740 Phone: 901-687-5886 | |
Stephanie Elaine Matthews, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2022 Battery Park Dr., Glendale, KY 42740 Phone: 270-668-7016 | |
Erica Lee, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2022 Battery Park Dr., Glendale, KY 42740 Phone: 901-499-9569 |