Individual provider · Type 1 NPI

Kurt Phillip Mickelson

Other Technician · Clearwater, FL

NPI number 1881782332 Active

Practice location

15100 Rescue Way
Clearwater, FL 33762

Fax (727) 535-4190

Mailing address

155 Largs Ct # 2-207
Dunedin, FL 34698-8387

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1881782332

Kurt Phillip Mickelson's National Provider Identifier is 1881782332, issued on Oct 10, 2006. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Clearwater, FL. The record was last updated on Jul 8, 2007.