Search › Kentucky › 363A00000X
Kevin Mitcham, PA
NPI 1740663608 · on the registry since 2015
Practice
- Address
- 740 S Limestone Ste L119
Lexington, KY 40536 - Phone
- (859) 257-3253
- Fax
- (859) 323-1203
- Organisation at this address
- Uk Ot Group
Tracy Profitt
Uk Optical Shop
University Of Kentucky
University Of KentuckyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 701
Additional practice sites
- 1701 N Senate Blvd, Indianapolis, IN
- 111 W Stone Dr, Kingsport, TN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
363AS0400X
363A00000X
363A00000X
363AM0700X
363AM0700X - Licence states on file
- KY, TN, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky