NPI 1366053241

Mikaela Ann Altis, PAC

Practitioner Medical Physician Assistant Fort Leavenworth, KS

Practice location

Address: 550 Pope Ave, Fort Leavenworth, KS 66027-2332
Phone: (913) 684-6258

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Other Physician Assistant providers in Kansas →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Kansas →

Registry record

NPI: 1366053241
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2020
Record last updated: 18 Oct 2024

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.