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MR. KELLY MICHAEL MILLER IDC
NPI 1205045481
Military Health Care Provider - Independent Duty Corpsman in Kaneohe Bay, HI

Active since May 22, 2007
COMMANDING OFFICER MEDICAL COMPANY, CSSG-3 BOX 63067 MCBH, KANEOHE BAY, HI 96863(808) 257-1572 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kelly Michael Miller Idc NPPES

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

MR. KELLY MICHAEL MILLER IDC (NPI 1205045481) is an individual independent duty corpsman provider in Kaneohe Bay, Hawaii and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1205045481
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. KELLY MICHAEL MILLERCredential: IDC
Location AddressCOMMANDING OFFICER MEDICAL COMPANY, CSSG-3 BOX 63067 MCBHKaneohe Bay, HI 96863
Mailing Address46-271 Kahuhipa St Apt E109Kaneohe, HI 96744-6024 · (808) 271-5490
Phone(808) 257-1572
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205045481 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.
COMMANDING OFFICER MEDICAL COMPANY, Kaneohe Bay, HI 96863
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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 Kelly Miller's NPI number?

The NPI number for Kelly Miller is 1205045481. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Kelly Miller located?

Kelly Miller practices at Commanding Officer Medical Company Cssg-3 Box 63067 Mcbh, Kaneohe Bay, HI 96863. The listed phone number is (808) 257-1572.

What is Kelly Miller'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 Kelly Miller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.