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NPI Code Detail

MEDICARE: KEVIN SCOTT VARNER SFIDC

MEDICARE:   KEVIN SCOTT VARNER  SFIDC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11710I1002XIndependent Duty Corpsman

General Provider Information

NPI Number : 1407928377
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN SCOTT VARNER SFIDC
Provider Business Mailing Address
First Line : USS JOHN S. MCCAIN DDG-56
Second Line :
City : FPO
State : AP
Zip : 96672
Country : US
Telephone Number : 314-241-9966
Fax Number :
Provider Business Practice Location Address
First Line : USS JOHN S. MCCAIN DDG-56
Second Line :
City : FPO AP
State : CA
Zip : 96672-1274
Country : US
Telephone Number : 314-241-9966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 04/20/2008

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Directions to “ KEVIN SCOTT VARNER SFIDC” Practice Location

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