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KIMBERLY LEENIESE CHAVEZ SFIDC NPI 1245542364


NPI Information

NPI: 1245542364
Provider Name: KIMBERLY LEENIESE CHAVEZ, SFIDC
Classification: Military Health Care Provider - 1710I1002X
Entity Type: Individual

Specialization: Independent Duty Corpsman

Address:
2450 CRAVEN ST
BRANCH MEDICAL CLINIC NAVAL STATION BLDG 3300
SAN DIEGO, CA
ZIP 92136
Phone: (619) 954-6168
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Kimberly Leeniese Chavez, SFIDC is an independent duty corpsman military health care provider in San Diego, CA. The provider is 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. Kimberly Leeniese Chavez, SFIDC NPI is 1245542364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2450 CRAVEN ST
BRANCH MEDICAL CLINIC NAVAL STATION BLDG 3300
SAN DIEGO, CA
ZIP 92136-599
Phone: (619) 954-6168
Fax: (619) 556-9419

The enumeration date for this NPI number is 7/6/2010 and was last updated on 7/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11710I1002XMilitary Health Care ProviderIndependent Duty CorpsmanCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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