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

Lisa Ann Kostelecky

Individual provider Military Health Care Provider · NPI 1912888710

Lisa Ann Kostelecky is a Military Health Care Provider in Fort Campbell, Kentucky. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

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

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Military Health Care Provider Taxonomy 171000000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1912888710
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

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