Mr. Daniel Kyle Evans, IDC
Mr. Daniel Kyle Evans, IDC is a Student in an Organized Health Care Education/Training Program in Portsmouth, Virginia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Effingham St Bldg 36Portsmouth, VA 23708-7000
Phone: (757) 953-4688
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Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1568180438 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | August 17, 2022 |
| Last updated in NPPES | January 11, 2023 |
| Certification date | January 10, 2023 |
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