IndividualActive
Kathy Mathis, RN
NPI 1508093550 · Ambulatory Care Registered Nurse · Fort Campbell, KY
Provider details
- NPI number
- 1508093550
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN0000078901 (TN)
Practice location
650 Joel Dr
Bach Specialty Clinic
Fort Campbell, KY 42223-5318
Phone: (270) 798-8400
Mailing address
139 Weymouth Ct
Clarksville, TN 37043-7432
Registry dates
- Enumerated
- 2009-06-17
- Last updated
- 2009-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.