MEDICARE: DAVID ALEXANDER GUZMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146N00000X	Basic Emergency Medical Technician		PA
2	1710I1003X	Independent Duty Medical Technicians		KY

General Provider Information

NPI Number	:	1093660060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ALEXANDER GUZMAN

Provider Business Mailing Address
First Line	:	1095 MEDLEY DR
Second Line	:
City	:	EKRON
State	:	KY
Zip	:	40117-8556
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 BRULE ST BLDG 871
Second Line	:
City	:	FORT KNOX
State	:	KY
Zip	:	40121-6100
Country	:	US
Telephone Number	:	800-493-9602
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ DAVID ALEXANDER GUZMAN ” Practice Location

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