Individual
MRS. VLATKA SPLAJT PLYMALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5585
(270) 412-8698
(270) 412-8698
Mailing address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5585
(270) 412-8698
(270) 412-8698
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0000002417
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000002417
MEDICAL LISCENCE
TN
Enumeration date
06/30/2011
Last updated
10/09/2012
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