KENT ALAN WILLETTE IDMT NREMT-P NPI 1447599030

NPI Information

NPI: 1447599030
Provider Name: KENT ALAN WILLETTE, IDMT, NREMT-P
Classification: Clinic/Center - 261QM1103X
Entity Type: Individual

Specialization: Military Ambulatory Procedure Visits Operational (Transportable)

Address:
101 PARKWAY PL
TULLAHOMA, TN
ZIP 37388
Phone: (931) 454-3537
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Kent Alan Willette, IDMT, NREMT-P is a military ambulatory procedure visits operational (transportable) clinic center in Tullahoma, TN. The provider is non-fixed facilities or distinct parts of a non-fixed facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals. Kent Alan Willette, IDMT, NREMT-P NPI is 1447599030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 PARKWAY PL
TULLAHOMA, TN
ZIP 37388-341
Phone: (931) 454-3537

The enumeration date for this NPI number is 2/3/2013 and was last updated on 2/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1103X	Clinic/Center	Military Ambulatory Procedure Visits Operational (Transportable)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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