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Scott Andrew Kelly, SOIDC
Independent Duty Corpsman in San Clemente, California
NPI 1548891526

Scott Andrew Kelly is a Independent Duty Corpsman based in San Clemente, CA and is specialized in Independent Duty Corpsman. Scott Andrew Kelly practices in San Clemente, CA and has the professional credentials of SOIDC. The NPI Number for Scott Andrew Kelly is 1548891526 and holds a License No. (California).

The current practice location address for Scott Andrew Kelly is 242 Avenida Pelayo Unit A, San Clemente, CA and can be reached out via phone at 773-491-2746.

Location: 242 Avenida Pelayo Unit A, San Clemente, CA, 92672-5033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548891526
Provider Name
Scott Andrew Kelly
Credential
SOIDC
Provider Entity Type
Individual
Gender
Male
Address
242 Avenida Pelayo Unit A, San Clemente, CA, 92672-5033
Phone Number
773-491-2746
Fax Number
Provider Enumeration Date
01/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
242 Avenida Pelayo Unit A
City
San Clemente
State
California
Zip
92672-5033
Phone Number
773-491-2746
Fax Number
person
Provider Business Mailing Address Details
Address
242 Avenida Pelayo Unit A
City
San Clemente
State
California
Zip
92672-5033
Phone Number
773-491-2746
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.
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