Individual provider · Type 1 NPI

Rachael Suzanne Mir

Primary Care Clinic/Center · Fort Campbell, KY

NPI number 1073750337 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Call (270) 798-8400 Map

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X66786 (TN)

Primary Care Clinic/Center: Definition to come...

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About NPI 1073750337

Rachael Suzanne Mir's National Provider Identifier is 1073750337, issued on Jan 8, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fort Campbell, KY. The record was last updated on Jan 8, 2009.