Individual provider · Type 1 NPI

Andre Ramon Kirkendoll, IDC

Independent Duty Corpsman · San Diego, CA

NPI number 1609011253 Active

Practice location

34101 Farenholt Ave Bldg 14, Surface Warfare Medical Institute San Diego, Ca 92134
San Diego, CA 92134-7000

Mailing address

554 S Radio Dr
San Diego, CA 92114-6571

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 1609011253

Andre Ramon Kirkendoll, IDC's National Provider Identifier is 1609011253, issued on Dec 11, 2008. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in San Diego, CA. The record was last updated on Dec 11, 2008.