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

Mr. Mark Timothy Mitchum

Individual provider Occupational Health Registered Nurse · NPI 1992512479

Mr. Mark Timothy Mitchum is an Occupational Health Registered Nurse in Glendale, Kentucky. Licensed in Kentucky. Registered with an NPI since 2024.

Licensed in
KY
In the registry since
2024

Practice location Address checks out

2022 Battery Park Dr
Glendale, KY 42740
Phone: (859) 314-3670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Health Registered Nurse (primary) Taxonomy 163WX0106X · Licence 1112028 (KY)

Record details

NPI number1992512479
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 13, 2024
Mailing address311 Hillview Dr, Horse Cave, KY 42749-8048

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