IndividualActive
Killian Viles, IDMT
NPI 1255802484 · Independent Duty Medical Technicians · Moody Afb, GA
Provider details
- NPI number
- 1255802484
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Mailing address
3280 Mitchell Blvd
Moody Afb, GA 31699-1500
Registry dates
- Enumerated
- 2018-12-16
- Last updated
- 2024-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.