Individual provider · Type 1 NPI
Kent Alan Willette, IDMT, NREMT-P
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center · Tullahoma, TN
Practice location
101 Parkway Pl
Tullahoma, TN 37388-5341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center Primary | 261QM1103X | None listed |
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center: "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.
About NPI 1447599030
Kent Alan Willette, IDMT, NREMT-P's National Provider Identifier is 1447599030, issued on Feb 3, 2013. The primary taxonomy on file is Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center (261QM1103X), and the practice location is in Tullahoma, TN. The record was last updated on Feb 3, 2013.