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MR. KENNY DANIEL HARP IDC
NPI 1063052819
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since January 09, 2020
59 DEERWOOD DR, GROTON, CT 06340(224) 535-0152 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenny Daniel Harp Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNY DANIEL HARP IDC (NPI 1063052819) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1063052819
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. KENNY DANIEL HARPCredential: IDC
Location Address59 DEERWOOD DRGroton, CT 06340-2513
Mailing Address59 Deerwood DrGroton, CT 06340-2513 · (224) 535-0152
Phone(224) 535-0152
Sole ProprietorNo
Enumeration DateJanuary 9, 2020
✔ NPI 1063052819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
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.
59 DEERWOOD DR, Groton, CT 06340
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenny Harp's NPI number?

The NPI number for Kenny Harp is 1063052819. It was assigned to this individual provider in the NPPES registry on January 9, 2020.

Where is Kenny Harp located?

Kenny Harp practices at 59 Deerwood Dr, Groton, CT 06340. The listed phone number is (224) 535-0152.

What is Kenny Harp's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Kenny Harp was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.