Mumtaz Khan, PA
NPI #1093795726 in Fort Campbell, Kentucky
Provider Information
- NPI Number
- 1093795726
- Entity Type
- Individual
- Name
- Mumtaz Khan, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jan 19, 2006
- Last Updated
- Oct 27, 2014
Practice Location
- Address
- 650 JOEL DR
- Address 2
- BLANCHFIELD HOSPITAL
- City
- Fort Campbell
- State
- Kentucky
- ZIP Code
- 42223-5318
- Phone
- (270) 798-8388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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