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Kyle James Pederson
Independent Duty Corpsman in Kailua, Hawaii
NPI 1740957158

Kyle James Pederson is a Independent Duty Corpsman based in Mcbh Kaneohe Bay, HI and is specialized in Independent Duty Corpsman. Kyle James Pederson practices in Kailua, HI. The NPI Number for Kyle James Pederson is 1740957158 and holds a License No. (Hawaii).

The current practice location address for Kyle James Pederson is 6905 Harris Ave, Kailua, HI and can be reached out via phone at 808-257-3365. You can also correspond with Kyle James Pederson through the mailing address at MAG-24 MWSS, MCBH KANEOHE BAY, HI - 96863-3047 (mailing address contact number: ).

Location: 6905 Harris Ave, Kailua, HI, 96863-3047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740957158
Provider Name
Kyle James Pederson
Credential
Provider Entity Type
Individual
Gender
Male
Address
6905 Harris Ave, Kailua, HI, 96863-3047
Phone Number
808-257-3365
Fax Number
Provider Enumeration Date
08/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6905 Harris Ave
City
Kailua
State
Hawaii
Zip
96734
Phone Number
808-257-3365
Fax Number
person
Provider Business Mailing Address Details
Address
6905 Harris Ave
City
Kailua
State
Hawaii
Zip
96734
Phone Number
808-257-3365
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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