IndividualActive
Ernesto Cruz
NPI 1962649236 · Primary Care Clinic/Center · Fort Campbell, KY
Provider details
- NPI number
- 1962649236
- Entity type
- Individual
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 41142 (TN)
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Registry dates
- Enumerated
- 2009-01-08
- Last updated
- 2009-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.