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

Individual provider Independent Duty Corpsman · NPI 1720226160

Mr. Kimo Greg Lee, 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
2009
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Practice location Address checks out

Bld 601 McCain Bldg Branch Medical Clinic Naval Base Coronado
San Diego, CA 92135-7046
Phone: (619) 545-8229
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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 number1720226160
Entity typeIndividual (Type 1)
GenderMale
Credentials SFIDC
Sole proprietorYes
NPI enumeratedJanuary 22, 2009
Last updated in NPPESMay 7, 2010

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