Individual provider · Type 1 NPI

Tyler Kelly

Independent Duty Corpsman · San Diego, CA

NPI number 1760159271 Active

Practice location

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000

Call (937) 621-3743 Map

Mailing address

10265 Waldron Way
San Diego, CA 92124-3218

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 1760159271

Tyler Kelly's National Provider Identifier is 1760159271, issued on Aug 24, 2021. 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 Jan 20, 2022.