NPI Index

MR. KELLY MILLER, IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1205045481

Practice Address

COMMANDING OFFICER MEDICAL COMPANY
CSSG-3 BOX 63067 MCBH
Kaneohe Bay, HI 96863

Phone: (808) 257-1572

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Corpsman 1710I1002X Yes -

Frequently Asked Questions

NPI 1205045481 is the National Provider Identifier for MR. KELLY MILLER, IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Kaneohe Bay, HI. This NPI was enumerated on May 22, 2007.
MR. KELLY MILLER, IDC practices at COMMANDING OFFICER MEDICAL COMPANY, CSSG-3 BOX 63067 MCBH, Kaneohe Bay, HI 96863.

Quick Facts

NPI
1205045481
Type
Individual
Enumerated
May 22, 2007
Last Updated
Jul 8, 2007

Nearby Providers

Same Specialty