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

Kyle James Pederson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740957158

Kyle James Pederson is a Student in an Organized Health Care Education/Training Program in Kailua, Hawaii. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

6905 Harris Ave
Kailua, HI 96734
Phone: (808) 257-3365
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 34101 Farenholt Ave Bldg 14, San Diego, CA 92134-7000 — (910) 260-7902

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740957158
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESApril 14, 2022
Certification dateMarch 31, 2022
Mailing addressMag-24 Mwss, McBh Box 63047, McBh Kaneohe Bay, HI 96863-3047

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