Search › Kentucky › 122300000X
Gracen Fistler
NPI 1992373476 · on the registry since 2021
Practice
- Address
- 2441 21st St
Fort Campbell, KY 42223 - Phone
- (270) 798-8751
- Clinicians at this address
- 50
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-11
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