Individual
DR. FERDINAND K. BACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8017
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8017
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DOS1526
HI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DOS1526
HI
Other
Enumeration date
01/12/2007
Last updated
04/09/2025
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