KENNETH A. DAVIS


Address: 400 Sand Island Pkwy, Cgc Kukui (wlb-203), Honolulu, HI 96819-4326
Phone: 8088422860

KENNETH A. DAVIS (NPI# 1477692143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477692143
Entity Type Individual
Full Name KENNETH A. DAVIS
Practice Address 400 Sand Island Pkwy
Cgc Kukui (wlb-203)
Honolulu
HI 96819-4326
Mailing Address 4200 Ocean St
Uscg Sector Jacksonville
Atlantic Beach
FL 32233
Practice Telephone 8088422860
Practice Fax Number 8088422864
Mailing Telephone 9045647581
Mailing Fax Number 9045647583
Enumeration Date 2007-02-06
Last Update Date 2012-11-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
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1942444948 Kenneth Scott Davis Psychiatry & Neurology 1837 Edenside Ave, Louisville, KY 40204-1521 2009-04-22
1205040771 Kenneth P Davis Psychologist 821 W Van Buren St, Chicago, IL 60607-3517 2007-05-10
1740301886 Kenneth William Davis Chiropractor 381 Palm Coast Pkwy Sw, Unit 2, Palm Coast, FL 32137-4781 2007-04-03
1760499198 Kenneth James Davis Pharmacist 326 Doyle St W, Toccoa, GA 30577-2314 2006-08-01

Office Location

Street Address 400 SAND ISLAND PKWY
CGC KUKUI (WLB-203)
City HONOLULU
State HI
Zip Code 96819-4326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508844861 Elton Edward Johnson Jr. Registered Nurse 400 Sand Island Pkwy, Uscg, Honolulu, HI 96819-4326 2006-01-06
1568801702 Lianne Msl Casupang Counselor 400 Sand Island Pkwy, Honolulu, HI 96819-4326 2013-06-20
1871897793 Daniel James Sharkey Technician, Other 400 Sand Island Pkwy, Honolulu, HI 96819-4326 2011-01-06
1710017678 Us Coast Guard Technician, Health Information 400 Sand Island Pkwy, Honolulu, HI 96819-4326 2007-03-07
1497881445 Daniel Gene Moraga Technician 400 Sand Island Pkwy, Honolulu, HI 96819-4326 2007-02-26
1568597714 Edwin Abel Casanova Technician, Health Information 400 Sand Island Pkwy, Honolulu, HI 96819-4326 2007-02-21
1376612010 Heidi Marie Ronnfeldt Military Health Care Provider 400 Sand Island Pkwy, Honolulu, HI 96819-4326 2006-11-07
1316029259 U.S. Coast Guard Isc Honolulu Clinic/Center 400 Sand Island Pkwy, Health Services Division, Honolulu, HI 96819-4326 2006-10-19
1043319502 Eric John Fialkowski Technician, Other 400 Sand Island Pkwy, Isc Medical, Honolulu, HI 96819-4326 2006-09-21
1225133705 Megan Elaine Leonard Technician, Other 400 Sand Island Pkwy, Medical, Honolulu, HI 96819-4326 2006-09-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619507621 Corrie Sanders Pharmacist 450 Patterson Rd, Honolulu, HI 96819 2020-01-17
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1942852660 Kolea Home Care In Home Supportive Care 2229 Kula Kolea Drive, Honolulu, HI 96819 2019-07-12
1164957882 Kathleen Oliver Student in an Organized Health Care Education/Training Program 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 2017-05-01
1720436058 Aaron Taniguchi Physical Therapist 1740 Ala Aolani St, Honolulu, HI 96819 2016-05-26
1770940892 Tracy Lynne Khan Fernando Nurse Practitioner 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 2016-01-20
1275961385 Gavino T. Vinzons M.d, Inc Family Medicine 2055 N. King St. Ste 102, Honolulu, HI 96819 2013-10-29
1407195118 Candace Adeline Schumacher Licensed Vocational Nurse 1460 Ala Aolani, Honolulu, HI 96819 2013-02-01
1750629556 Benjamin L Kilinski Nurse Practitioner 1803 Kamehameha Iv Road, Honolulu, HI 96819 2013-01-29
1366701047 Doreen Anela Oura Ramseyer Case Manager/Care Coordinator 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 2012-05-15
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

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1982838793 Ryan Michael Bauermeister Military Health Care Provider 1200 Queen Emma St, 1905, Honolulu, HI 96813-6300 2009-05-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730318791 Mark P Picchione Military Health Care Provider 310 Worchester Ave, Bldg 45, Hickam Afb, HI 96853-5530 2009-07-10
1922232230 Angela Marie Alveo-forbes Military Health Care Provider 375 Mamiya St, Bldg 2140, Hickam Ab, HI 96853 2009-05-14
1912141557 Bobby L. Woods Military Health Care Provider 310 Worchester Ave Bldg 45, Jpac Medical Section, Hickam Afb, HI 96853-5530 2009-04-27
1124262746 John Craig Bright Military Health Care Provider 15mdos/sgomf 755 Scott Circle, Hickam Afb, HI 96853-3672 2009-04-27
1114489309 Adele J Dailey-thomas Military Health Care Provider 755 Scott Cir Ste 559, Jbphh, HI 96853-5399 2019-04-05
1477013217 Nathan Robert Becker Military Health Care Provider 755 Scott Cir, Jbphh, HI 96853-5399 2019-03-20
1558723858 Rossmery Aragon-leonard Military Health Care Provider 755 Scott Cir, Jbphh, HI 96853-5399 2016-03-25
1639300312 Cameron Modisette Military Health Care Provider 755 Scott Cir, Hickam Afb, HI 96853-5399 2009-07-29
1154556280 Rodney Valdecanas Acasio Military Health Care Provider 310 Worchester Ave Bldg 45, Hickam Afb, HI 96853-5530 2009-05-19
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Competitor

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City HONOLULU
Zip Code 96819

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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