person
Kenneth Sheppard Moore
Independent Duty Corpsman in San Diego, California
NPI 1568963627

Kenneth Sheppard Moore is a Independent Duty Corpsman based in San Diego, CA and is specialized in Independent Duty Corpsman. Kenneth Sheppard Moore practices in San Diego, CA. The NPI Number for Kenneth Sheppard Moore is 1568963627 and holds a License No. (California).

The current practice location address for Kenneth Sheppard Moore is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 757-968-8770.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92123-2048
person
Provider Profile Details
NPI Number
1568963627
Provider Name
Kenneth Sheppard Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
34800 Bob Wilson Dr, San Diego, CA, 92123-2048
Phone Number
757-968-8770
Fax Number
Provider Enumeration Date
02/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
757-968-8770
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
757-968-8770
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
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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