NPI 1124264668

Kelli Ann Hathcock, LPN

Practitioner Licensed Practical Nurse Fort Campbell, KY

Practice location

Address: 650 Joel Dr, Fort Campbell, KY 42223-5318
Phone: (270) 798-8503

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN0000063956 (TN)

Other Licensed Practical Nurse providers in Kentucky →

Registry record

NPI: 1124264668
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jan 2009
Record last updated: 6 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.