KEITH ROBERT DAVIS IDC
NPI 1689873192
Military Health Care Provider - Independent Duty Medical Technicians in San Diego, CA

Active since July 13, 2007
140 SYLVESTER RD, USS TOPEKA (SSN 754) FPO AP 96679-2410, SAN DIEGO, CA 92106(619) 553-0123(619) 553-0744 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Robert Davis Idc NPPES

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

KEITH ROBERT DAVIS IDC (NPI 1689873192) is an individual independent duty medical technicians provider in San Diego, California and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1689873192
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameKEITH ROBERT DAVISCredential: IDC
Location Address140 SYLVESTER RD, USS TOPEKA (SSN 754) FPO AP 96679-2410San Diego, CA 92106-3521
Mailing Address140 Sylvester Rd, Uss Topeka (ssn 754) Fpo Ap 96679-2410San Diego, CA 92106-3521 · (619) 553-0123 · Fax (619) 553-0744
Fax(619) 553-0744
Sole ProprietorYes
Enumeration DateJuly 13, 2007
NPI 1689873192 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.
140 SYLVESTER RD, San Diego, CA 92106

Other Providers at the Same Location NPPES 15

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)
140 SYLVESTER RD
SAN DIEGO, CA 92106
Psychologist (Clinical)
140 SYLVESTER RD, BUILDING 500
SAN DIEGO, CA 92106
Clinical Nurse Specialist (Informatics)
140 SYLVESTER RD
SAN DIEGO, CA 92106
Military Health Care Provider (Independent Duty Corpsman)
140 SYLVESTER RD
SAN DIEGO, CA 92106
Clinic/Center (Dental)
140 SYLVESTER RD
SAN DIEGO, CA 92106
Social Worker (Clinical)
140 SYLVESTER RD, SARP BLDG 500, RM 601
SAN DIEGO, CA 92106
Military Health Care Provider (Independent Duty Corpsman)
140 SYLVESTER RD
SAN DIEGO, CA 92106
Military Health Care Provider (Independent Duty Corpsman)
140 SYLVESTER RD
SAN DIEGO, CA 92106

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 Keith Davis's NPI number?

The NPI number for Keith Davis is 1689873192. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Keith Davis located?

Keith Davis practices at 140 Sylvester Rd Uss Topeka (ssn 754) Fpo Ap 96679-2410, San Diego, CA 92106. The listed phone number is (619) 553-0123.

What is Keith 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 Keith Davis was last updated on July 13, 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.