Individual
MR. DEANTHONY JAMES TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
7973 W DESTINY BLVD, FORT CAMPBELL, KY 42223-5429
(270) 697-0011
Mailing address
99 MICHIGAN AVE, FORT CAMPBELL, KY 42223-5614
(270) 697-0011
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
M5140316
VA
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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