Individual provider · Type 1 NPI

Kyle James Pederson

Independent Duty Corpsman · Kailua, HI

NPI number 1740957158 Active

Practice location

6905 Harris Ave
Kailua, HI 96734

Call (808) 257-3365 Map

Mailing address

MAG-24 Mwss, Mcbh Box 63047
Mcbh Kaneohe Bay, HI 96863-3047

Other practice locations

  • 34101 Farenholt Ave Bldg 14, San Diego, CA 92134-7000 · (910) 260-7902

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
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 1740957158

Kyle James Pederson's National Provider Identifier is 1740957158, issued on Aug 24, 2021. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Kailua, HI. The record was last updated on Apr 14, 2022.