Lookup NPI Numbers from the NPI Registry
NPI Profile for MIKAELA A ALTIS in FORT LEAVENWORTH, KS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1366053241 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 08/13/2020 | |
| Last updated | 10/18/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MIKAELA A ALTIS
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MIKAELA A ALTIS, PA-C