Individual
KASON JAMES FARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-8453
Mailing address
1011 HAGGARD DR, CLARKSVILLE, TN 37043-5640
(812) 774-2069
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
212128
TN
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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