Ronald Lee Milam Jr., CRNA
Nurse Anesthetist, Certified Registered in Ft Campbell, KY. Individual provider (NPI-1).
NPI number1619114709
StatusActive
Last updated in NPPESAug 30, 2026
Details
- NPI
- 1619114709
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ronald Lee Milam Jr.
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2009
- Certification date
- Aug 30, 2026
- Last updated
- Aug 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 749402 | TX | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 30360 | TN |
Practice location
Blanchfield Army Community Hospital650 Joel Drive
Ft Campbell, KY 42223
Phone 270-956-0625
Mailing address
650 Joel DrFort Campbell, KY 42223-5318
Phone 270-798-8400
Other practice locations
36000 Darnall Loop
Fort Hood, TX 76544-5095
Fort Hood, TX 76544-5095
Phone 254-288-8706
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