Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Micael Mitcham, PA

Individual provider Surgical Physician Assistant · NPI 1740663608

Kevin Micael Mitcham, PA is a Physician Assistant in Lexington, Kentucky. Graduated from Mercer University School of Medicine in 2015, 11 years ago. Practices with United Medical Associates PC, a 232-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana, Kentucky and Tennessee.

Years since qualifying
11
Trained at
Mercer University School of Medicine
Licensed in
IN, KY, TN
In the registry since
2015
Specialties on file
7
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

740 S Limestone Ste L119
Lexington, KY 40536-1239
Phone: (859) 257-3253
Fax: (859) 323-1203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (317) 962-0582
  • 111 W Stone Dr, Kingsport, TN 37660-6027 — (423) 408-7050

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC110 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TC110 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2796 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 2796 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 10003888A (IN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TC110 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2796 (TN)

Record details

NPI number1740663608
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 9, 2015
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice United Medical Associates Pc — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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