Healthcare Provider Details

I. General information

NPI: 1346175213
Provider Name (Legal Business Name): KENNETH COLE BONE AEMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 MAYSVILLE RD
DICKSON TN
37055-5523
US

IV. Provider business mailing address

2251 MAYSVILLE RD
DICKSON TN
37055-5523
US

V. Phone/Fax

Practice location:
  • Phone: 615-854-6013
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number221937
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: