NPI 1770216863

Kason James Fark, PARAMEDIC

Practitioner Paramedic Fort Campbell, KY

Practice location

Address: 650 Joel Dr, Fort Campbell, KY 42223-5318
Phone: (270) 412-8453
Mailing address: 1011 Haggard Dr, Clarksville, TN 37043-5640

Registered specialties

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X Licence 212128 (TN)

Other Emergency Medical Technician, Paramedic providers in Kentucky →

Registry record

NPI: 1770216863
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2022
Record last updated: 6 Jul 2022

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.