IndividualActive
Brian Balcolm, IDMT
NPI 1205110368 · Independent Duty Medical Technicians · Mcconnell Afb, KS
Provider details
- NPI number
- 1205110368
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
57950 Leavenworth St
Mcconnell Afb, KS 67221-3505
Phone: (316) 759-6300
Approximate (ZIP-level) locationGet directions
Mailing address
57950 Leavenworth St
Mcconnell Afb, KS 67221-3505
Registry dates
- Enumerated
- 2011-10-06
- Last updated
- 2023-07-10
- Certified
- 2023-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.