NPI 1558845362

Walter Buckner, IDMT

Practitioner Independent Duty Medical Technicians Louisville, TN

Practice location

Address: 420 Post Ave, Louisville, TN 37777-6223
Phone: (931) 698-7906

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1558845362
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2018
Record last updated: 18 Sep 2018

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.