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Mr. Kenzie Jamal Moore, IDC
Independent Duty Corpsman in Los Angeles, California
NPI 1932542636

Kenzie Jamal Moore is a Independent Duty Corpsman based in Los Angeles, CA and is specialized in Independent Duty Corpsman. Kenzie Jamal Moore practices in Los Angeles, CA and has the professional credentials of IDC. The NPI Number for Kenzie Jamal Moore is 1932542636 and holds a License No. (California).

The current practice location address for Kenzie Jamal Moore is 5954 Edgemar Ave, Los Angeles, CA and can be reached out via phone at 323-559-1541.

Location: 5954 Edgemar Ave, Los Angeles, CA, 90043-3452
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932542636
Provider Name
Kenzie Jamal Moore
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
5954 Edgemar Ave, Los Angeles, CA, 90043-3452
Phone Number
323-559-1541
Fax Number
Provider Enumeration Date
04/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5954 Edgemar Ave
City
Los Angeles
State
California
Zip
90043-3452
Phone Number
323-559-1541
Fax Number
person
Provider Business Mailing Address Details
Address
5954 Edgemar Ave
City
Los Angeles
State
California
Zip
90043-3452
Phone Number
323-559-1541
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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