Individual provider · Type 1 NPI

Mark Timothy Mitchum

Occupational Health Registered Nurse · Glendale, KY

NPI number 1992512479 Active

Practice location

2022 Battery Park Dr
Glendale, KY 42740

Mailing address

311 Hillview Dr
Horse Cave, KY 42749-8048

Specialties and licenses

TaxonomyCodeLicense
Occupational Health Registered Nurse Primary 163WX0106X1112028 (KY)

Occupational Health Registered Nurse: Definition to come...

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About NPI 1992512479

Mark Timothy Mitchum's National Provider Identifier is 1992512479, issued on Dec 17, 2024. The primary taxonomy on file is Occupational Health Registered Nurse (163WX0106X), and the practice location is in Glendale, KY. The record was last updated on Dec 17, 2024.