MR. ELLIOTT SPENCER KECK IDC NPI 1255536785

NPI Information

MR. Elliott Spencer Keck, IDC is an independent duty corpsman military health care provider in Virginia Beach, VA. 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. MR. Elliott Spencer Keck, IDC NPI is 1255536785. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1550 TOMCAT BLVD STE 150
NAS OCEANA, BHC
VIRGINIA BEACH, VA
ZIP 23460-186
Phone: (757) 953-3792

The enumeration date for this NPI number is 6/15/2007 and was last updated on 7/18/2012.

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:

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