Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kevin E. Mayberry, PA-C

Individual provider Medical Physician Assistant · NPI 1669780078

Mr. Kevin E. Mayberry, PA-C is a Medical Physician Assistant in Fort Campbell, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010
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) 798-3969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1669780078
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 20, 2010
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022

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