Individual provider · Type 1 NPI

Matthew Todd Cooney

Student in an Organized Health Care Education/Training Program · Fort Campbell, KY

NPI number 1003797523 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Mailing address

135 Westfield Ct Apt 1415
Clarksville, TN 37040-2301

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003797523

Matthew Todd Cooney's National Provider Identifier is 1003797523, issued on Sep 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Campbell, KY. The record was last updated on Sep 10, 2025.