MR. KEN SAMUEL CONKLIN IDC
NPI 1871870022
Military Health Care Provider - Independent Duty Corpsman in Apo, AA
- Individual
- Male
- Military Health Care Provider
- Independent Duty Corpsman
About KEN CONKLIN
This page provides the complete NPI Profile along with additional information for Ken Conklin, a provider established in Apo, with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1871870022 assigned on November 2011. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1871870022 Verify this NPI
- Provider Name
- MR. KEN SAMUEL CONKLIN IDC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- PSC BOX 20073 CAMP LEJEUNE, NC APO, AA 28542
- Location Phone
- (808) 721-6299
- Mailing Address
- 34101 FARENHOLT AVE SAN DIEGO, CA 92134
- Mailing Phone
- (910) 450-6324
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-15-2011
- Last Update Date
- 11-15-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider Independent Duty Corpsman
- Taxonomy Code
- 1710I1002X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871870022, enumerated as an "individual" on November 15, 2011.
The provider is located at PSC BOX 20073 CAMP LEJEUNE, NC APO, AA 28542 and the phone number is (808) 721-6299.
Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.
