NPI 1053748616

Jason H Mildenberger, PA

Practitioner Physician Assistant North Kansas City, MO

Practice location

Address: 2800 Clay Edwards Dr, North Kansas City, MO 64116
Phone: (816) 691-2000
Mailing address: 5665 New Northside Dr Suite 320, Atlanta, GA 30328-5831

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2018011301 (MO)

Other Physician Assistant providers in Missouri →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 007036 (GA)

Registry record

NPI: 1053748616
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2013
Record last updated: 17 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.