Individual
MR. RAYMOND L. HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE, FORT CAMPBELL, KY 42223-5349
(270) 798-8400
Mailing address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(580) 583-8173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1174434
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2020
Last updated
02/27/2025
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