Individual
KENNETH MARK PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5349
(270) 798-8400
Mailing address
112 AZALEA CT, CLARKSVILLE, TN 37042-3495
(520) 827-0863
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6426
TN
Other
Enumeration date
02/11/2026
Last updated
02/26/2026
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