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

Kathy Sue Mathis, RN

Individual provider Ambulatory Care Registered Nurse · NPI 1508093550

Kathy Sue Mathis, RN is an Ambulatory Care Registered Nurse in Fort Campbell, Kentucky. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

650 Joel Dr Bach Specialty Clinic
Fort Campbell, KY 42223-5318
Phone: (270) 798-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence RN0000078901 (TN)

Record details

NPI number1508093550
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJune 17, 2009
Last updated in NPPESJune 17, 2009
Mailing address139 Weymouth Ct, Clarksville, TN 37043-7432

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