Mitchell Mahan, STUDENT
Mitchell Mahan, STUDENT is a Student in an Organized Health Care Education/Training Program in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2023.
- Licensed in
- KS
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1121 S Clifton AveWichita, KS 67218-2912
Phone: (316) 689-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 94-11909 (KS) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1366221467 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | STUDENT |
| Sole proprietor | No |
| NPI enumerated | September 27, 2023 |
| Last updated in NPPES | July 6, 2024 |
| Certification date | July 6, 2024 |
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