Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cameron Mattingly

Individual provider Anesthesiology Physician · NPI 1205210028

Cameron Mattingly is an Anesthesiology Physician in Fort Campbell, Kentucky. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 4301500403 (MI)

Record details

NPI number1205210028
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 10, 2015
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022
Mailing address106 Whispering Hills Dr, Berea, KY 40403-9753

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