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Kent Alan Willette, IDMT,NREMT-P
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center in Tullahoma, Tennessee
NPI 1447599030

Kent Alan Willette is a Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center based in Tullahoma, TN and is specialized in Military Ambulatory Procedure Visits Operational (Transportable). Kent Alan Willette practices in Tullahoma, TN and has the professional credentials of IDMT,NREMT-P. The NPI Number for Kent Alan Willette is 1447599030 and holds a License No. (Tennessee).

The current practice location address for Kent Alan Willette is 101 Parkway Pl, Tullahoma, TN and can be reached out via phone at 931-454-3537.

Location: 101 Parkway Pl, Tullahoma, TN, 37388-5341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447599030
Provider Name
Kent Alan Willette
Credential
IDMT,NREMT-P
Provider Entity Type
Individual
Gender
Male
Address
101 Parkway Pl, Tullahoma, TN, 37388-5341
Phone Number
931-454-3537
Fax Number
Provider Enumeration Date
02/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Parkway Pl
City
Tullahoma
State
Tennessee
Zip
37388-5341
Phone Number
931-454-3537
Fax Number
person
Provider Business Mailing Address Details
Address
101 Parkway Pl
City
Tullahoma
State
Tennessee
Zip
37388-5341
Phone Number
931-454-3537
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military Ambulatory Procedure Visits Operational (Transportable)
Taxonomy
261QM1103X
License No.
()
Definition
"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.
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