IndividualActive
Mark Mitchum
NPI 1992512479 · Occupational Health Registered Nurse · Glendale, KY
Provider details
- NPI number
- 1992512479
- Entity type
- Individual
- Primary specialty
- Occupational Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1112028 (KY)
Specialties & taxonomies
Nursing Service Providers
Practice location
2022 Battery Park Dr
Glendale, KY 42740
Phone: (859) 314-3670
Approximate (ZIP-level) locationGet directions
Mailing address
311 Hillview Dr
Horse Cave, KY 42749-8048
Registry dates
- Enumerated
- 2024-12-17
- Last updated
- 2024-12-17
- Certified
- 2024-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.