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

Mr. Kevin Richard Mattos, IDC

Individual provider Independent Duty Corpsman · NPI 1558576702

Mr. Kevin Richard Mattos, IDC is an Independent Duty Corpsman in Gulfport, Mississippi. Registered with an NPI since 2007.

In the registry since
2007

Practice location Partly verified

Some contact details are missing from the federal record.

Marvin Shields Blvd Cbc Gulfport
Gulfport, MS 39501-0000
Phone: (850) 341-0754
Fax: (228) 871-2135
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 number1558576702
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedMay 11, 2007
Last updated in NPPESJuly 8, 2007

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