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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215480645 | Kenneth Davis | Pharmacist | 60 Hospital St, Cadiz, KY 42211-7970 | 2016-08-02 |
1336567767 | Kenneth Davis | Contractor | 8908 E Mint Cir, Palmer, AK 99645-8053 | 2014-04-02 |
1750707931 | Kenneth Roger Davis | Internal Medicine | 315 N 71st St, Seattle, WA 98103-5019 | 2014-03-11 |
1649601774 | Kenneth L Davis | Counselor | 1404 E. 11th Avenue, Spokane, WA 99202 | 2013-11-27 |
1124384359 | Kenneth Wayne Davis | Counselor | 1002 Se C St, Bentonville, AR 72712-6327 | 2012-04-02 |
1134458045 | Kenneth Carter Davis | Occupational Therapist | 2 Post Rd, Warwick, RI 02888-1607 | 2009-12-24 |
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 |
Street Address |
400 SAND ISLAND PKWY CGC KUKUI (WLB-203) |
City | HONOLULU |
State | HI |
Zip Code | 96819-4326 |
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 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
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 |
Find all providers in zip 96819 |
Taxonomy Code | 1710I1003X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Medical Technicians |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093358939 | Kyle Luis Munoz Valdes | Military Health Care Provider | 135 Aupaka St, Honolulu, HI 96818-5422 | 2019-10-23 |
1356992457 | Emma Jo Ann Marquez | Military Health Care Provider | 755 Scott Circle Drive, Honolulu, HI 96818 | 2019-09-20 |
1982838793 | Ryan Michael Bauermeister | Military Health Care Provider | 1200 Queen Emma St, 1905, Honolulu, HI 96813-6300 | 2009-05-07 |
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 |
1740423151 | Douglas Brook | Military Health Care Provider | 755 Scott Cir, Jbphh, HI 96853-5399 | 2009-04-15 |
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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.