KEVIN MITCHAM, PA

PA

Physician Assistant

NPI: 1740663608IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician Assistant

Physician Assistant — Surgical

Code: 363AS0400X

TC110(KY)2796(TN)

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

TC110(KY)2796(TN)10003888A(IN)

Medical Physician Assistant

Physician Assistant — Medical

Code: 363AM0700X

TC110(KY)2796(TN)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

MERCER UNIVERSITY SCHOOL OF MEDICINE

Class of 2015

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Contact & Hours

Via practice · 3 locations total

Address: 1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Phone: (317) 962-0582

Locations (3)

Practice Location

1701 N SENATE BLVD, INDIANAPOLIS, IN

Practice Location

111 W Stone Dr, Kingsport, TN

Practice Location

740 S LIMESTONE STE L119, LEXINGTON, KY

Quick Facts

NPI: 1740663608
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 7
Locations: 3
Years in Practice: 11

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