IndividualActive
Alice Blizman
NPI 1639416399 · Family Medicine Physician · Fort Campbell, KY
Provider details
- NPI number
- 1639416399
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 5802 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8400
Approximate (ZIP-level) locationGet directions
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Registry dates
- Enumerated
- 2013-01-14
- Last updated
- 2025-04-17
- Certified
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.