Individual
ANH NGOC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(271) 798-8131
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(271) 798-8131
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003873
VA
Other
Enumeration date
06/06/2012
Last updated
04/29/2025
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