Beth Ann Shay-stidom is a medical physician assistant in Fort Campbell, KY. Beth Ann Shay-stidom NPI is 1437460698. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
650 JOEL DR
FORT CAMPBELL, KY
ZIP 42223-318
Phone: (270) 798-8372
The enumeration date for this NPI number is 6/23/2010 and was last updated on 6/23/2010.