Individual provider · Type 1 NPI

Daniel Medrano Jr.

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

NPI number 1033076260 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Call (270) 798-8400 Map

Mailing address

134 Chisum Ct
Clarksville, TN 37043-2125

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 1033076260

Daniel Medrano Jr.'s National Provider Identifier is 1033076260, issued on Jan 8, 2026. 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 Jan 8, 2026.