Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEN SAMUEL CONKLIN, IDC
Active Sole ProprietorIndependent Duty Corpsman · APO, AA
Registration Details
- NPI Number
- 1871870022
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2011 (14.495428409634 yrs)
- Last Updated
- Nov 15, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
PSC BOX 20073CAMP LEJEUNE, NCAPO, AA, 285420073Browse AA providers · Browse ZIP 28542
- Phone
- 8087216299
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in APO, AA
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER CROWE | NAVY IDC | 1972761021 |
| MS. CARRIE LYNN DECKER | — | 1134454770 |
| ERIC HAYNES | — | 1982000550 |
| MR. RORY JOSEPH FARRELL | SOIDC | 1568929636 |
| JOSHUA MARCUS KUEPPER | SOIDC | 1720624992 |
| KEVIN EDWARD BOERINGER | SOIDC | 1316542046 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.