NPI 1053645085

Benjamin Patrick Tudor, RPHTAEMT

Practitioner Intermediate Emergency Medical Technician Lexington, KY

Practice location

Address: 1873 Honey Spring Place, Lexington, KY 40502
Phone: (859) 533-9481
Mailing address: 600 W Walnut St, Danville, KY 40422-1309

Registered specialties (3)

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 2175794276 (KY)

Other Emergency Medical Technician, Intermediate providers in Kentucky →

Pharmacy Technician

Pharmacy Service Providers Taxonomy 183700000X Licence 00019910PT (KY)

Other Pharmacy Technician providers in Kentucky →

Other Technician

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Kentucky →

Registry record

NPI: 1053645085
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2009
Record last updated: 6 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.