Individual
DR. MANUEL POUPARINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 JOEL DRIVE, FORT CAMPBELL, KY 42223
(931) 431-2800
(615) 225-6864
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-8355
(931) 431-2800
(615) 225-6864
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
28396
AL
174400000X
Specialist
Primary
28396
AL
207R00000X
Internal Medicine Physician
Primary
72530
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051545593
BC/BS OF ALABAMA
AL
05
—
051545593
—
TN
Enumeration date
06/07/2006
Last updated
04/08/2026
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