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Curtis Kenton Southern JR.
Basic Emergency Medical Technician in Cody, Wyoming
NPI 1275246761

Curtis Kenton Southern JR. is a Basic Emergency Medical Technician based in Cody, WY. Curtis Kenton Southern JR. practices in Cody, WY. The NPI Number for Curtis Kenton Southern JR. is 1275246761 and holds a License No. 267854106619 (Wyoming).

The current practice location address for Curtis Kenton Southern JR. is 7 Canyon Lake Dr, Cody, WY and can be reached out via phone at 706-330-4538.

Location: 7 Canyon Lake Dr, Cody, WY, 82414-7890
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275246761
Provider Name
Curtis Kenton Southern JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
7 Canyon Lake Dr, Cody, WY, 82414-7890
Phone Number
706-330-4538
Fax Number
Provider Enumeration Date
12/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7 Canyon Lake Dr
City
Cody
State
Wyoming
Zip
82414-7890
Phone Number
706-330-4538
Fax Number
person
Provider Business Mailing Address Details
Address
7 Canyon Lake Dr
City
Cody
State
Wyoming
Zip
82414-7890
Phone Number
706-330-4538
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
267854106619 (Wyoming)
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
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