IndividualActive
Ethan Blomberg, NREMT-P
NPI 1902740715 · Paramedic · Fort Campbell, KY
Provider details
- NPI number
- 1902740715
- Entity type
- Individual
- Primary specialty
- ParamedicEmergency Medical Service Providers
- Credential
- NREMT-P
- Sex
- Male
- Sole proprietor
- No
- License
- P032566 (GA)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
6103 Wickham Ave
Fort Campbell, KY 42223-5425
Phone: (715) 657-0985
Approximate (ZIP-level) locationGet directions
Mailing address
6103 Wickham Ave
Fort Campbell, KY 42223-5425
Registry dates
- Enumerated
- 2026-04-14
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.