Jonathon Luther Kelly in Bremerton - Independent Duty Corpsman
Jonathon Luther Kelly - NPI 1609049774
Jonathon Luther Kelly is a Independent Duty Corpsman in Bremerton, Washington. Jonathon Luther Kelly practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Jonathon Luther Kelly is 1609049774. The last update date is 2008-04-09.
Jonathon Luther Kelly's current location address is 1 Boone Rd, Bremerton, Washington. You can contact this provider via phone number 3604754841 and fax number 3604754935. The mailing address for Jonathon Luther Kelly is 1 Boone Rd, Bremerton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathon Luther Kelly |
|---|---|
| Address | 1 Boone Rd, Bremerton, Washington |
| Phone Number | 3604754841 |
| Fax Number | 3604754935 |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1609049774 |
|---|---|
| Provider Enumeration Date | 2008-04-09 |
| Last Updated Date | 2008-04-09 |
Provider Mailing Address Detail
| Address | 1 Boone Rd |
|---|---|
| City | Bremerton |
| State | Washington (WA) |
| Post Code | 983121894 |
| Phone Number | 3604754841 |
| Fax Number | 3604754935 |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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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 v |
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Post Comment/ Review Below
What is the unique identifier code issued to Jonathon Luther Kelly by the Centers for Medicare & Medicaid Services (CMS)?
The Jonathon Luther Kelly has been assigned the NPI (National Provider Identifier) 1609049774. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jonathon Luther Kelly?
The Jonathon Luther Kelly is situated at 1 Boone Rd, in the city of Bremerton, state of WA, with the zip code 983121894.
What is Jonathon Luther Kelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jonathon Luther Kelly is Independent Duty Corpsman, and the corresponding taxonomy classification code for this specialized field is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609049774 to Jonathon Luther Kelly?
The Centers for Medicare & Medicaid Services originally issued the 1609049774 to Jonathon Luther Kelly on 2008-04-09.
When was the information related to Jonathon Luther Kelly most recently updated or refreshed?
The details pertaining to the Jonathon Luther Kelly, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-09.
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