Mikaela Ann Altis, PA-C
NPI #1366053241 in Fort Leavenworth, Kansas
Provider Information
- NPI Number
- 1366053241
- Entity Type
- Individual
- Name
- Mikaela Ann Altis, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Aug 13, 2020
- Last Updated
- Oct 18, 2024
Practice Location
- Address
- 550 POPE AVE
- City
- Fort Leavenworth
- State
- Kansas
- ZIP Code
- 66027-2332
- Phone
- (913) 684-6258
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant - Medical — Medical |
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