MR. KEVIN RICHARD MATTOS IDC
NPI 1558576702
Military Health Care Provider - Independent Duty Corpsman in Gulfport, MS

Q: What is Kevin Mattos's NPI number?

The NPI number for Kevin Mattos is 1558576702. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Q: What is Kevin Mattos's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Mattos 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.

Active since May 11, 2007

MARVIN SHIELDS BLVD, CBC GULFPORT, GULFPORT, MS 39501(850) 341-0754(228) 871-2135 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Kevin Richard Mattos Idc NPPES

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

MR. KEVIN RICHARD MATTOS IDC (NPI 1558576702) is an individual independent duty corpsman provider in Gulfport, Mississippi and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1558576702

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. KEVIN RICHARD MATTOSCredential: IDC

Location AddressMARVIN SHIELDS BLVD, CBC GULFPORTGulfport, MS 39501-0000

Mailing Address4674 Cerny RdPensacola, FL 32526-2753 · (850) 341-0754 · Fax (228) 871-2135

Phone(850) 341-0754

Fax(228) 871-2135

Sole ProprietorNo

Enumeration DateMay 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1558576702 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.

MARVIN SHIELDS BLVD, Gulfport, MS 39501

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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 Kevin Mattos's NPI number?

The NPI number for Kevin Mattos is 1558576702. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Kevin Mattos located?

Kevin Mattos practices at Marvin Shields Blvd Cbc Gulfport, Gulfport, MS 39501. The listed phone number is (850) 341-0754.

What is Kevin Mattos'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 Kevin Mattos 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.