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Gage David-clayton Kahn
Student in an Organized Health Care Education/Training Program in Portsmouth, Virginia
NPI 1023736642

Gage David-clayton Kahn is a Student in an Organized Health Care Education/Training Program based in San Diego, VA. Gage David-clayton Kahn practices in Portsmouth, VA. The NPI Number for Gage David-clayton Kahn is 1023736642 and holds a License No. (Virginia).

The current practice location address for Gage David-clayton Kahn is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-374-2891.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 92105-4784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023736642
Provider Name
Gage David-clayton Kahn
Credential
Provider Entity Type
Individual
Gender
Male
Address
620 John Paul Jones Cir, Portsmouth, VA, 92105-4784
Phone Number
757-374-2891
Fax Number
Provider Enumeration Date
08/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 John Paul Jones Cir
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
757-374-2891
Fax Number
person
Provider Business Mailing Address Details
Address
620 John Paul Jones Cir
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
757-374-2891
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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