Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH PERRY VANTASSEL
Active Sole ProprietorKENNETH PERRY VANTASSEL is a Independent Duty Corpsman healthcare provider located in RICHMOND, Texas. NPI 1225581481 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · RICHMOND, TX
Registration Details
- NPI Number
- 1225581481
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2016 (10.096908743003 yrs)
- Last Updated
- Jul 24, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
1410 WOODFAIR DRRICHMOND, TX, 774066609Browse TX providers · Browse ZIP 77406
- Phone
- 5306513022
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.