MR. IDC Ken Samuel Conklin, NPI 1871870022
Independent Duty Corpsman in Apo, AA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1871870022
NPI Entity Type Individual
Provider Name MR. IDC Ken Samuel Conklin
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address Psc Box 20073, Camp Lejeune, Nc, Apo, AA, US
Provider Mailing Address 34101 Farenholt Ave, San Diego, CA, US, 921345291
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

1710I1002X

Taxonomy Name Independent Duty Corpsman
Classification

Military Health Care Provider

Group

Other Service Providers

Description 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 other supporting forces such as contractors and foreign nationals.

Business Address

MR. IDC Ken Samuel Conklin
Psc Box 20073
Camp Lejeune, Nc

Apo, AA, US

Phone: 808-721-6299

Mailing Address

MR. IDC Ken Samuel Conklin
34101 Farenholt Ave
San Diego, CA, US
ZIP 921345291
Phone: 910-450-6324

Other Providers in AA, US

NPI Name Taxonomy Address

1659864221

DR. DO Kyle Steven Jaschen

Individual

Emergency Medicine Physician

Bassett Army Community Hospital

4076 Neely Road, Bldg 4076, Room 3c-401, Ft. Wainwright

Apo, AA

1457840126

DO John Lee Hirt

Individual

Psychiatry Physician

Usa Meddac 11050 Mount Belvedere Blvd

Apo, AA

1487929873

DR. M.D. Scott Gerald Story

Individual

Diagnostic Radiology Physician

Navy Military Support Cmd: Attn: Medical Staff Services

Bldg H 2005 Knight Lane, Jacksonville, Fl

Fpo, AA

1952020372

PA-C Elizabeth Uecker

Individual

Physician Assistant

Uss Gerald R Ford

Fpo, AA

1518685577

MRS. RN Mary Elizabeth Hudson

Individual

Emergency Registered Nurse

1300 Psc

Apo, AA

1659966935

DDS Dryden Granger

Individual

Dentist

224 W D.l. Ingram Ave, Bldg 1408

Apo, AA

1790209484

DR. DMD, OMFS Christopher Rylan Cason

Individual

Oral and Maxillofacial Surgery (Dentist)

36065 Santa Fe Ave

Apo, AA

1982130605

MD Kelli Anne Mccoy

Individual

Pediatrics Physician

Usnh Guantanamo Bay

Fpo, AA

1912634643

DMD Edward Anthony Hernandez

Individual

Dentist

72nd And Support, Building 33026

Apo, AA

1619407913

DO Mac Thomas Martin

Individual

Diagnostic Radiology Physician

301 Fisher Street

Keesler Medical Center Keesler Afb

Apo, AA

1053893123

DR. DDS Glen William Myers

Individual

General Practice Dentistry

2355-b Faculty Dr

Usaf Academy, Colorado

Usafa, AA

1902532500

DMD Gregory Oldland

Individual

Dentist

8930 Brown Drive, Bethesda, Md 20889-5629

Hospital Dentistry, Bld 9, Floord 2

Fpo, AA

1285360925

DR. DDS Jacob C Brezinsky

Individual

Dentist

7223 Mississippi Ave

Bldg 1561

Apo, AA

1538894779

DMD Alfred Chun Guo

Individual

General Practice Dentistry

1065 Boston Rd

Apo, AA

1598376808

Aaron Heber Pack

Individual

Dentist

Mcrd Parris Island

Fpo, AA

1538578315

DMD Kimberly Kocak Schlam

Individual

Prosthodontist

Usa Dental Activity

6837 Normandy Drive Attn:mcds Na B

Apo, AA

1497064430

MR. SFIDC Lennard Earl Small JR.

Individual

Independent Duty Corpsman

Uss John L. Hall (ffg-32)

Medical Department

Fpo, AA

1760623375

MR. IDC Raymond Richard Price

Individual

Independent Duty Corpsman

2nd Medical Battalion

Psc Box 20126

Fpo, AA

1700832045

MR. IDC Travis L Houser

Individual

Independent Duty Corpsman

Uss Robert G. Bradley (ffg49)

Fpo, AA

1558316208

MRS. IDC Rosalind Lajune Poole

Individual

Independent Duty Corpsman

Ussjohn F Kennedy Cv 67

Fpo, AA

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