| Doctor Name: | PHILLIP VOLKERT |
| NPI Number: | 1114074259 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | |
| Business Practice Address: | 650 Joel Dr Fort Campbell, KY - 422235318 |
| Business Phone Number: | 2707988372 |
| Business Fax Number: | 2709560180 |
| Mailing Address: | 650 Joel Dr, FORT CAMPBELL |
| State: | KY |
| Postal Code: | 422235318 |
| Phone Number: | 2707988372 |
| Fax Number: | 2709560180 |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |