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Search › Kentucky › 213ES0103X

Shane Wortman, DPM

NPI 1245417385 · on the registry since 2008

Practice

Address
650 Joel Dr
Fort Campbell, KY 42223
Phone
(270) 798-8375
Fax
(270) 798-8630
Organisation at this address
Us Army
Nashville Vamc
Department Of Defense
Ach Blanchfield-Ft Campbell
Blanchfiled Army Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
989

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky