Thomas A Barnes, PA-C
Individual provider Active NPI Physician Assistant · Fort Campbell, KY
NPI 1104353630 · NPPES record last updated May 15, 2017
Key facts
- NPI
- 1104353630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 650 Joel Dr
Fort Campbell, KY 42223-5318 - Phone
- (270) 798-8400
- NPI assigned
- May 15, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Mailing address
2976 W Mor Dr
Clarksville, TN 37043-2401
Phone (757) 327-2043
Other providers in Fort Campbell, KY
- Debra Levell Barbour
- Lucas Benjamin Barker
- Patricia Stacie Barlow
- Marni B. Barnes
- Sarah L Barnes
- Chavonn T Barnett
- Christopher Barrett
- Morgan Richard Barron
- Margaret Therese Barton
- Nicholas Basham
All providers in Fort Campbell, KY · Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.