KENNETH A. DAVIS
NPI 1477692143
Military Health Care Provider - Independent Duty Medical Technicians in Honolulu, HI

Active since February 06, 2007
400 SAND ISLAND PKWY, CGC KUKUI (WLB-203), HONOLULU, HI 96819(808) 842-2860(808) 842-2864 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth A. Davis NPPES

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

KENNETH A. DAVIS (NPI 1477692143) is an individual independent duty medical technicians provider in Honolulu, Hawaii and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1477692143
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameKENNETH A. DAVIS
Location Address400 SAND ISLAND PKWY, CGC KUKUI (WLB-203)Honolulu, HI 96819-4326
Mailing Address4200 Ocean St, Uscg Sector JacksonvilleAtlantic Beach, FL 32233 · (904) 564-7581 · Fax (904) 564-7583
Fax(808) 842-2864
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateNovember 2, 2012
NPI 1477692143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
400 SAND ISLAND PKWY, Honolulu, HI 96819

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician, Other
400 SAND ISLAND PKWY, ISC MEDICAL
HONOLULU, HI 96819
Psychologist (Clinical)
400 SAND ISLAND PKWY
HONOLULU, HI 96819
Technician, Other
400 SAND ISLAND PKWY, MEDICAL
HONOLULU, HI 96819
Clinic/Center (Military/U.S. Coast Guard Outpatient)
400 SAND ISLAND PKWY, HEALTH SERVICES DIVISION
HONOLULU, HI 96819
Military Health Care Provider
400 SAND ISLAND PKWY
HONOLULU, HI 96819
Military Health Care Provider (Independent Duty Corpsman)
400 SAND ISLAND PKWY
HONOLULU, HI 96819
Military Health Care Provider (Independent Duty Medical Technicians)
400 SAND ISLAND PKWY
HONOLULU, HI 96819
Military Health Care Provider (Independent Duty Medical Technicians)
400 SAND ISLAND PKWY
HONOLULU, HI 96819

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 Kenneth Davis's NPI number?

The NPI number for Kenneth Davis is 1477692143. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Kenneth Davis located?

Kenneth Davis practices at 400 Sand Island Pkwy Cgc Kukui (wlb-203), Honolulu, HI 96819. The listed phone number is (808) 842-2860.

What is Kenneth Davis's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Kenneth Davis was last updated on November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.