Mathis, Kathy Sue
Mathis, Kathy Sue is an individual health care provider with primary practice located at 650 Joel Dr Bach Specialty Clinic, Fort Campbell KY 42223-5318. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Mathis, Kathy Sue can be contacted via phone (270) 798-8400.Contact Information
Primary practice address
650 Joel Dr Bach Specialty Clinic
Fort Campbell KY 42223-5318
Phone: (270) 798-8400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Ambulatory Care | 163WP2201X | RN0000078901 | Tennessee |
Profile Details
| NPI number | 1508093550 |
|---|---|
| LBN Legal business name | Mathis, Kathy Sue |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2009 |
| Last updated | Jun 17th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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