MR. KEVIN LIONEL ST PATRICK MOORE IDMT
NPI 1649404807
Military Health Care Provider - Independent Duty Medical Technicians in Travis Afb, CA

Active since May 03, 2009
101 BODIN CIR, SGPF, TRAVIS AFB, CA 94535(707) 423-7225(707) 423-5026 Get Directions Write a Review

NPPES record last updated: May 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kevin Lionel St Patrick Moore Idmt NPPES

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

MR. KEVIN LIONEL ST PATRICK MOORE IDMT (NPI 1649404807) is an individual independent duty medical technicians provider in Travis Afb, California and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1649404807
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. KEVIN LIONEL ST PATRICK MOORECredential: IDMT
Location Address101 BODIN CIR, SGPFTravis Afb, CA 94535-1809
Mailing Address101 Bodin Cir, SgpfTravis Afb, CA 94535-1809 · (707) 423-7225 · Fax (707) 423-5026
Fax(707) 423-5026
Sole ProprietorNo
Enumeration DateMay 3, 2009
NPI 1649404807 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.

101 BODIN CIR, Travis Afb, CA 94535

Other Providers at the Same Location NPPES 20

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

Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535
Pathology (Anatomic Pathology & Clinical Pathology)
101 BODIN CIR
TRAVIS AFB, CA 94535

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 Moore's NPI number?

The NPI number for Kevin Moore is 1649404807. It was assigned to this individual provider in the NPPES registry on May 3, 2009.

Where is Kevin Moore located?

Kevin Moore practices at 101 Bodin Cir Sgpf, Travis Afb, CA 94535. The listed phone number is (707) 423-7225.

What is Kevin Moore'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 Kevin Moore was last updated on May 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.