NPI 1902740715

Ethan Randall Blomberg, NREMTP

Practitioner Paramedic Fort Campbell, KY

Practice location

Address: 6103 Wickham Ave, Fort Campbell, KY 42223-5425
Phone: (715) 657-0985

Registered specialties

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X Licence P032566 (GA)

Other Emergency Medical Technician, Paramedic providers in Kentucky →

Registry record

NPI: 1902740715
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2026
Record last updated: 14 Apr 2026

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.