DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STEPHEN MICHAEL NELLIS, DO

Active

DR. STEPHEN MICHAEL NELLIS, DO is a Family Medicine healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1962060814 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FORT CAMPBELL, KY

Registration Details

NPI Number
1962060814
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2019 (7.1836395200552 yrs)
Last Updated
May 22, 2025
Licenses
4954 (TN)
4954 (TN)
4954 (TN)
4954 (TN)
4954 (TN)

Practice Information

Address
650 JOEL DR
FORT CAMPBELL, KY, 422235318
Browse KY providers · Browse ZIP 42223
Phone
8126290614
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Internal Medicine
Additional Specialty
Pediatrics
Additional Specialty
Diagnostic Radiology

Other Family Medicine Providers in FORT CAMPBELL, KY

Name Credential NPI
MRS. MICHAEL L PLACE II 1427048909
GORDON TROY PRAIRIE MD 1992776991
PAUL KENNETH BIRNEY M.D. 1922074657
DAVID REUEL NAVORSKA DO 1457329385
DR. KEVIN LEONE CUMMINGS M.D. 1023077724
DR. MICHAEL ADAM HELWIG MD 1922067537
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.