Individual provider · Type 1 NPI

Kristin Mickelson, PA-C

Medical Physician Assistant · Upland, CA

NPI number 1982072682 Active

Practice location

585 N Mountain Ave, Suite A
Upland, CA 91786-8516

Call (909) 946-2228 Map

Fax (909) 946-8007

Mailing address

840 Towne Center Dr
Pomona, CA 91767-5900

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1982072682

Kristin Mickelson, PA-C's National Provider Identifier is 1982072682, issued on Sep 11, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Upland, CA. The record was last updated on Oct 22, 2015.