KENT ALAN WILLETTE IDMT, NREMT-P
NPI 1447599030
Clinic/Center - Military Ambulatory Procedure Visits Operational (Transportable) in Tullahoma, TN

Active since February 03, 2013
101 PARKWAY PL, TULLAHOMA, TN 37388(931) 454-3537 Get Directions Write a Review

NPPES record last updated: February 3, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Clinic/Center
  • Military Ambulatory Procedure Visits Ope...

About KENT WILLETTE

This page provides the complete NPI Profile along with additional information for Kent Willette, a provider established in Tullahoma, Tennessee with a medical specialization in Clinic/center, focusing in military ambulatory procedure visits operational (transportable) . The healthcare provider is registered in the NPI registry with number 1447599030 assigned on February 2013. The practitioner's primary taxonomy code is 261QM1103X. The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1447599030 Verify this NPI
Provider Name
KENT ALAN WILLETTE IDMT, NREMT-P
Gender
Male
Entity Type
Individual
Location Address
101 PARKWAY PL TULLAHOMA, TN 37388
Location Phone
(931) 454-3537
Mailing Address
101 PARKWAY PL TULLAHOMA, TN 37388
Mailing Phone
(931) 454-3537
Is Sole Proprietor?
Yes
Enumeration Date
02-03-2013
Last Update Date
02-03-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Military Ambulatory Procedure Visits Operational (Transportable)

Taxonomy Code
261QM1103X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447599030, enumerated as an "individual" on February 03, 2013.

The provider is located at 101 PARKWAY PL TULLAHOMA, TN 37388 and the phone number is (931) 454-3537.

Clinic/Center with taxonomy code 261QM1103X and a focus in Military Ambulatory Procedure Visits Operational (Transportable).