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Search › Kentucky › 363A00000X

Matthew Dale, PA-C

NPI 1700443512 · on the registry since 2019

Practice

Address
650 Joel Dr
Fort Campbell, KY 42223
Phone
(270) 798-8400
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
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
OH, TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-17

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