IndividualActive
Andre Kirkendoll, IDC
NPI 1609011253 · Independent Duty Corpsman · San Diego, CA
Provider details
- NPI number
- 1609011253
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
34101 Farenholt Ave Bldg 14
Surface Warfare Medical Institute San Diego, Ca 92134
San Diego, CA 92134-7000
Phone: (619) 532-5099
Approximate (ZIP-level) locationGet directions
Mailing address
554 S Radio Dr
San Diego, CA 92114-6571
Registry dates
- Enumerated
- 2008-12-11
- Last updated
- 2008-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.