MR. KEN SAMUEL CONKLIN IDC
NPI 1871870022
Military Health Care Provider - Independent Duty Corpsman in Apo, AA

Active since November 15, 2011
PSC BOX 20073, CAMP LEJEUNE, NC, APO, AA 28542(808) 721-6299 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ken Samuel Conklin Idc NPPES

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

MR. KEN SAMUEL CONKLIN IDC (NPI 1871870022) is an individual independent duty corpsman provider in Apo, AA and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1871870022
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. KEN SAMUEL CONKLINCredential: IDC
Location AddressPSC BOX 20073, CAMP LEJEUNE, NCApo, AA 28542-0073
Mailing Address34101 Farenholt AveSan Diego, CA 92134-5291 · (910) 450-6324
Sole ProprietorYes
Enumeration DateNovember 15, 2011
NPI 1871870022 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.
PSC BOX 20073, Apo, AA 28542

Other Providers at the Same Location NPPES 2

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

Military Health Care Provider (Independent Duty Corpsman)
PSC BOX 20073
DPO, AA 28542
Military Health Care Provider
PSC BOX 20073
CAMP LEJEUNE, NC 28542

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 Ken Conklin's NPI number?

The NPI number for Ken Conklin is 1871870022. It was assigned to this individual provider in the NPPES registry on November 15, 2011.

Where is Ken Conklin located?

Ken Conklin practices at Psc Box 20073 Camp Lejeune, Nc, Apo, AA 28542. The listed phone number is (808) 721-6299.

What is Ken Conklin'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 Ken Conklin was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.