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

Individual provider Physician Assistant · NPI 1093795726

Mumtaz Khan, PA is a Physician Assistant in Fort Campbell, Kentucky. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

650 Joel Dr Blanchfield Hospital
Fort Campbell, KY 42223-5318
Phone: (270) 798-8388
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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 1919 (WI)

Record details

NPI number1093795726
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 19, 2006
Last updated in NPPESOctober 27, 2014

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