IndividualActive
Kyle Pederson
NPI 1740957158 · Independent Duty Corpsman · Kailua, HI
Provider details
- NPI number
- 1740957158
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Student, Health Care
Practice location
6905 Harris Ave
Kailua, HI 96734
Phone: (808) 257-3365
Approximate (ZIP-level) locationGet directions
Mailing address
Mag-24 Mwss
Mcbh Kaneohe Bay, HI 96863-3047
Additional practice locations (1)
- 34101 Farenholt Ave Bldg 14San Diego, CA 92134-7000Phone: (910) 260-7902
Registry dates
- Enumerated
- 2021-08-24
- Last updated
- 2022-04-14
- Certified
- 2022-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.