1. Home
  2. Directory
  3. Montana
  4. Box Elder
  5. Physician Assistant
  6. NPI Profile

KATHLEEN J MITCHAM MPAS, PA-C
NPI 1366504540
Physician Assistant - Medical in Box Elder, MT

Active since December 14, 2006
535 CLINIC RD E, BOX ELDER, MT 59521(406) 395-4486(406) 395-5850 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen J Mitcham Mpas, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN J MITCHAM MPAS, PA-C (NPI 1366504540) is an individual medical provider in Box Elder, Montana, licensed in Iowa (001462) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1366504540
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHLEEN J MITCHAMCredential: MPAS, PA-C
Location Address535 CLINIC RD EBox Elder, MT 59521-8826
Mailing Address535 Clinic Rd EBox Elder, MT 59521-8826 · (406) 395-4486 · Fax (406) 395-5850
Phone(406) 395-4486
Fax(406) 395-5850
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateMarch 1, 2012
✔ NPI 1366504540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IA · 001462
535 CLINIC RD E, Box Elder, MT 59521
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINR66288AK
Medicare UPINR66288IA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI S HUTTON RN
Registered Nurse
535 CLINIC RD E
BOX ELDER, MT 59521
Hill County (406) 395-4486
VICTOR NG
Specialist/Technologist, Pathology (Medical Technologist)
535 CLINIC RD E
BOX ELDER, MT 59521
Hill County (406) 395-4486
SCOTT DION RN
Registered Nurse
535 CLINIC RD E
BOX ELDER, MT 59521
Hill County (406) 395-4486
VICKI HAZEL RN
Registered Nurse
535 CLINIC RD E
BOX ELDER, MT 59521
Hill County (406) 395-4486
TINA KING LAC
Counselor (Addiction (Substance Use Disorder))
535 CLINIC RD E
BOX ELDER, MT 59521
Hill County (406) 395-4818
LONI MARIE WHITFORD EMT ADVANCED
Emergency Medical Technician, Intermediate
535 CLINIC RD E
BOX ELDER, MT 59521
Hill County (406) 395-4902
RENITA WATSON EMT
Emergency Medical Technician, Basic
535 CLINIC RD E
BOX ELDER, MT 59521
Hill County (406) 395-4374
MS. GLORIA LITTLE LAC
Counselor (Addiction (Substance Use Disorder))
535 CLINIC RD E
BOX ELDER, MT 59521
Hill County (406) 395-4818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Mitcham's NPI number?

The NPI number for Kathleen Mitcham is 1366504540. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Kathleen Mitcham located?

Kathleen Mitcham practices at 535 Clinic Rd E, Box Elder, MT 59521. The listed phone number is (406) 395-4486.

What is Kathleen Mitcham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kathleen Mitcham was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.