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.

About Kent Alan Willette Idmt, Nremt-p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENT ALAN WILLETTE IDMT, NREMT-P (NPI 1447599030) is an individual military ambulatory procedure visits operational (transportable) provider in Tullahoma, Tennessee and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1447599030
Entity TypeIndividualMale
Primary Taxonomy261QM1103X
Provider Legal NameKENT ALAN WILLETTECredential: IDMT, NREMT-P
Location Address101 PARKWAY PLTullahoma, TN 37388-5341
Mailing Address101 Parkway PlTullahoma, TN 37388-5341 · (931) 454-3537
Sole ProprietorYes
Enumeration DateFebruary 3, 2013
NPI 1447599030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Military Ambulatory Procedure Visits Operational (Transportable)Ambulatory Health Care Facilities
Taxonomy Code261QM1103X
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.

101 PARKWAY PL, Tullahoma, TN 37388

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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).