Individual provider · Type 1 NPI

Kelly Michael Miller, IDC

Independent Duty Corpsman · Kaneohe Bay, HI

NPI number 1205045481 Active

Practice location

Commanding Officer Medical Company, CSSG-3 Box 63067 Mcbh
Kaneohe Bay, HI 96863

Mailing address

46-271 Kahuhipa St Apt E109
Kaneohe, HI 96744-6024

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed

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 1205045481

Kelly Michael Miller, IDC's National Provider Identifier is 1205045481, issued on May 22, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Kaneohe Bay, HI. The record was last updated on Jul 8, 2007.