Individual provider · Type 1 NPI

Ryan McKenzie, SOIDC

Independent Duty Corpsman · Fpo, AP

NPI number 1104721208 Active

Practice location

3D Reconnaissance Battalion Unit 36180
Fpo, AP 96389-6180

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002X10256003RM (NC)

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

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About NPI 1104721208

Ryan McKenzie, SOIDC's National Provider Identifier is 1104721208, issued on Oct 9, 2026. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Fpo, AP. The record was last updated on Oct 9, 2026.