IndividualActive
Adam Moeck
NPI 1134515059 · Diagnostic Radiology Physician · Fort Campbell, KY
Provider details
- NPI number
- 1134515059
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 0101260925 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (123) 456-7891
Approximate (ZIP-level) locationGet directions
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Registry dates
- Enumerated
- 2015-04-07
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.