Individual provider · Type 1 NPI

Mikaela Ann Altis, PA-C

Medical Physician Assistant · Fort Leavenworth, KS

NPI number 1366053241 Active

Practice location

550 Pope Ave
Fort Leavenworth, KS 66027-2332

Call (913) 684-6258 Map

Other practice locations

  • 315 W Gary Blvd, Clinton, OK 73601-2835 · (580) 547-0900
  • 3600 N Garfield St, Midland, TX 79705-6329 · (806) 743-3220

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1366053241

Mikaela Ann Altis, PA-C's National Provider Identifier is 1366053241, issued on Aug 13, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Leavenworth, KS. The record was last updated on Oct 18, 2024.