IndividualActive
Anh Pham, PA
NPI 1972864940 · Medical Physician Assistant · Fort Campbell, KY
Provider details
- NPI number
- 1972864940
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 0110003873 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (271) 798-8131
Approximate (ZIP-level) locationGet directions
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Registry dates
- Enumerated
- 2012-06-06
- Last updated
- 2025-04-29
- Certified
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.