NPI 1275246761

Curtis Kenton Southern

Practitioner Basic Emergency Medical Technician Cody, WY

Practice location

Address: 7 Canyon Lake Dr, Cody, WY 82414-7890
Phone: (706) 330-4538

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 267854106619 (WY)

Other Emergency Medical Technician, Basic providers in Wyoming →

Registry record

NPI: 1275246761
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2022
Record last updated: 30 Dec 2022

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.