Individual
DR. TERRA LEIGH CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 461-1204
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 461-1204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01064715A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD 000
UPIN
—
Enumeration date
02/28/2008
Last updated
04/29/2019
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