IndividualActive
Deanthony Taylor, PARAMEDIC
NPI 1083581482 · Paramedic · Fort Campbell, KY
Provider details
- NPI number
- 1083581482
- Entity type
- Individual
- Primary specialty
- ParamedicEmergency Medical Service Providers
- Credential
- PARAMEDIC
- Sex
- Male
- Sole proprietor
- Yes
- License
- M5140316 (VA)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
7973 W Destiny Blvd
Fort Campbell, KY 42223-5429
Phone: (270) 697-0011
Approximate (ZIP-level) locationGet directions
Mailing address
99 Michigan Ave
Fort Campbell, KY 42223-5614
Registry dates
- Enumerated
- 2025-10-20
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.