IndividualActive
Kelly Miller, IDC
NPI 1205045481 · Independent Duty Corpsman · Kaneohe Bay, HI
Provider details
- NPI number
- 1205045481
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
Commanding Officer Medical Company
Cssg-3 Box 63067 Mcbh
Kaneohe Bay, HI 96863
Phone: (808) 257-1572
Approximate (ZIP-level) locationGet directions
Mailing address
46-271 Kahuhipa St Apt E109
Kaneohe, HI 96744-6024
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.