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

Matthew Christopher Dale, PA-C

Individual provider Physician Assistant · NPI 1700443512

Matthew Christopher Dale, PA-C is a Physician Assistant in Fort Campbell, Kentucky. Licensed in Ohio and Tennessee. Registered with an NPI since 2019.

Licensed in
OH, TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

650 Joel Dr
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

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.007385 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 4312 (TN)

Record details

NPI number1700443512
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 28, 2019
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022

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