Individual provider · Type 1 NPI
Kyle Michael Larson, IDMT
Independent Duty Medical Technicians · Moody Afb, GA
Practice location
3278 Mitchell Blvd
Moody Afb, GA 31699-1500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Medical Technicians Primary | 1710I1003X | None listed |
Independent Duty Medical Technicians: An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe …
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About NPI 1619617289
Kyle Michael Larson, IDMT's National Provider Identifier is 1619617289, issued on Mar 31, 2022. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Moody Afb, GA. The record was last updated on Feb 25, 2026.