IndividualActive
Benjamin Tudor, RPHT, AEMT
NPI 1053645085 · Intermediate Emergency Medical Technician · Lexington, KY
Provider details
- NPI number
- 1053645085
- Entity type
- Individual
- Primary specialty
- Intermediate Emergency Medical TechnicianEmergency Medical Service Providers
- Credential
- RPHT, AEMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00019910PT (KY)
Mailing address
600 W Walnut St
Danville, KY 40422-1309
Registry dates
- Enumerated
- 2009-09-23
- Last updated
- 2011-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.