IndividualActive
Annette Wade
NPI 1730326968 · Primary Care Clinic/Center · Fort Campbell, KY
Provider details
- NPI number
- 1730326968
- Entity type
- Individual
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2042320 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
- 2009-01-09
- Last updated
- 2009-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.