Individual provider · Type 1 NPI

Kathy Sue Mathis, RN

Ambulatory Care Registered Nurse · Fort Campbell, KY

NPI number 1508093550 Active

Practice location

650 Joel Dr, Bach Specialty Clinic
Fort Campbell, KY 42223-5318

Mailing address

139 Weymouth Ct
Clarksville, TN 37043-7432

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201XRN0000078901 (TN)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1508093550

Kathy Sue Mathis, RN's National Provider Identifier is 1508093550, issued on Jun 17, 2009. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Fort Campbell, KY. The record was last updated on Jun 17, 2009.