Individual provider · Type 1 NPI

Glen King

Independent Duty Corpsman · Jacksonville, FL

NPI number 1902114960 Active

Practice location

Bldg H. 2005 Knight Lane, Navy Medicine Support Command
Jacksonville, FL 32212-0140

Mailing address

31 Park Cir
Bluffton, SC 29910-8011

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 1902114960

Glen King's National Provider Identifier is 1902114960, issued on Sep 23, 2010. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 23, 2010.