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

Kyle Miller, SO-IDC

Individual provider Independent Duty Corpsman · NPI 1912572348

Kyle Miller, SO-IDC is an Independent Duty Corpsman in Fort Bragg, North Carolina. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2817 Reilly St
Fort Bragg, NC 28310-7324
Phone: (910) 907-2575
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1912572348
Entity typeIndividual (Type 1)
GenderMale
Credentials SO-IDC
Sole proprietorNo
NPI enumeratedMay 27, 2021
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021
Mailing address365 W Illinois Ave, Southern Pines, NC 28387-5846

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