Kristy A Roux PA-C

NPI 1770781577 - Physician Assistant - 363A00000X

NPI Details
NPI 1770781577
Gender Female
Enumeration Date 07/03/2007
Last Updated 10/15/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
650 JOEL DR.
FT. CAMPBELL KY, 42223, US
Phone (270) 798-8400
Fax
Business Location
650 JOEL DR
FORT CAMPBELL KY, 42223-5318, US
Phone (270) 956-0026
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA04559
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According to our database, Kristy A Roux PA-C NPI is 1770781577, taxonomy code is 363A00000X and license number is PA04559, license state is located at Texas. Kristy A Roux PA-C physically located at 650 Joel Dr., Ft. Campbell KY, 42223. NPI Number Kristy A Roux PA-C has the Individual type.

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1770781577 NPI number is provided on an as is basis without warranty of any kind. 1770781577 is maintained by the National Plan & Provider Enumeration System. The contents of Kristy A Roux PA-C are for informational purposes only.