IndividualActive
Keith Davis, IDC
NPI 1689873192 · Independent Duty Medical Technicians · San Diego, CA
Provider details
- NPI number
- 1689873192
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Practice location
140 Sylvester Rd
Uss Topeka (ssn 754) Fpo Ap 96679-2410
San Diego, CA 92106-3521
Phone: (619) 553-0123
Fax: (619) 553-0744
Mailing address
140 Sylvester Rd
San Diego, CA 92106-3521
Registry dates
- Enumerated
- 2007-07-13
- Last updated
- 2007-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.