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MR. KELLY LYNN YOUNGERMAN IDC
NPI 1932281102
Military Health Care Provider - Independent Duty Corpsman in Goose Creek, SC

Active since October 19, 2006
110 NNPTC CIR, GOOSE CREEK, SC 29445(843) 794-6228 Get Directions Write a Review

NPPES record last updated: December 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kelly Lynn Youngerman Idc NPPES

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

MR. KELLY LYNN YOUNGERMAN IDC (NPI 1932281102) is an individual independent duty corpsman provider in Goose Creek, South Carolina and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1932281102
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. KELLY LYNN YOUNGERMANCredential: IDC
Location Address110 NNPTC CIRGoose Creek, SC 29445-6314
Mailing Address110 Nnptc CirGoose Creek, SC 29445-6314 · (843) 794-6152
Phone(843) 794-6228
Sole ProprietorYes
Enumeration DateOctober 19, 2006
Last NPPES UpdateDecember 15, 2016
✔ NPI 1932281102 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.
110 NNPTC CIR, Goose Creek, SC 29445
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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.

MR. ANDREW T DARRAH PA-C
Physician Assistant
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-6000
MRS. KIA PORCHER RDH
Dental Hygienist
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-4511
RACHEL MAKI
Dental Hygienist
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-4507
DR. MATTHEW CHRISTIE D.D.S.
Dentist
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-7944
JASON WINKLER M.D.
Pediatrics
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-6000
ZAKIHIA MOULTRIE NP
Nurse Practitioner (Family)
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-6000
TRACY B REEVES PA
Physician Assistant
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-6840
ANNALEE ELIZABETH ROSE EDWARDS LPN
Licensed Practical Nurse
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-6662

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 Kelly Youngerman's NPI number?

The NPI number for Kelly Youngerman is 1932281102. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Kelly Youngerman located?

Kelly Youngerman practices at 110 Nnptc Cir, Goose Creek, SC 29445. The listed phone number is (843) 794-6228.

What is Kelly Youngerman'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 Kelly Youngerman was last updated on December 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.