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

Mr. Kyle Michael Larson, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1619617289

Mr. Kyle Michael Larson, IDMT is an Independent Duty Medical Technicians in Moody AFB, Georgia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3278 Mitchell Blvd
Moody AFB, GA 31699-1500
Phone: (229) 257-2778
Show map & directions

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

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1619617289
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address3278 Mitchell Blvd, Moody Afb, GA 31699-1500

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