OrganizationActive
Occutran Treatment Center, PLC
NPI 1043358617 · Preventive Medicine/Occupational Environmental Medicine Physician · Jackson, TN
Provider details
- NPI number
- 1043358617
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelvin Wren, Medical Director and Ceo(731) 660-4916
- License
- 39598 (TN)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense 39598 (TN)
Allopathic & Osteopathic Physicians
Practice location
174 Murray Guard Dr
Suite D
Jackson, TN 38305-3742
Phone: (731) 660-4916
Fax: (731) 660-6759
Approximate (ZIP-level) locationGet directions
Mailing address
174 Murray Guard Dr
Jackson, TN 38305-3742
Registry dates
- Enumerated
- 2007-02-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.