Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Leeniese Chavez, SFIDC

Individual provider Independent Duty Corpsman · NPI 1245542364

Kimberly Leeniese Chavez, SFIDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
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Practice location Address checks out

2450 Craven St Branch Medical Clinic Naval Sta Bldg 3300
San Diego, CA 92136-5599
Phone: (619) 954-6168
Fax: (619) 556-9419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X (CA)

Record details

NPI number1245542364
Entity typeIndividual (Type 1)
GenderFemale
Credentials SFIDC
Sole proprietorYes
NPI enumeratedJuly 6, 2010
Last updated in NPPESJuly 6, 2010

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