Annette C Wade

NPI 1730326968 - Clinic/Center - 261QP2300X

NPI Details
NPI 1730326968
Gender Female
Enumeration Date 01/09/2009
Last Updated 01/09/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
650 JOEL DR
FORT CAMPBELL KY, 42223-5318, US
Phone (270) 798-8400
Fax
Business Location
650 JOEL DR
FORT CAMPBELL KY, 42223-5318, US
Phone (270) 798-8400
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Kentucky
License Number 2042320
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According to our database, Mrs. Annette C Wade NPI is 1730326968, taxonomy code is 261QP2300X and license number is 2042320, license state is located at Kentucky. Annette C Wade physically located at 650 Joel Dr, Fort Campbell KY, 42223-5318. NPI Number Annette C Wade has the Individual type.

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1730326968 NPI number is provided on an as is basis without warranty of any kind. 1730326968 is maintained by the National Plan & Provider Enumeration System. The contents of Annette C Wade are for informational purposes only.