| Doctor Name: | MRS. VIVIAN C FIVECOAT |
| NPI Number: | 1003874579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 132437 |
| Business Practice Address: | Blanchfield Army Community Hospital 650 Joel Dr Fort Campbell, KS - 422235349 |
| Business Phone Number: | 2707988372 |
| Business Fax Number: | |
| Mailing Address: | Blanchfield Army Community Hospital, 650 Joel Dr FORT CAMPBELL |
| State: | KS |
| Postal Code: | 422235349 |
| Phone Number: | 2707988372 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0003X |
| License Number: | 132437 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |