Kevin Dale Joyner, SFIDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

3259 Catlin Ave
Naval Health Clinic Quantico
Quantico, VA 22134-5109

Phone

(703) 784-1602

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1255526547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 CATLIN AVE",
            "address_2": "NAVAL HEALTH CLINIC QUANTICO",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221345109",
            "telephone_number": "703-784-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 CATLIN AVE",
            "address_2": "NAVAL HEALTH CLINIC QUANTICO",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221345109",
            "telephone_number": "703-784-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYNER",
        "first_name": "KEVIN",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "SFIDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn M Ingram, DPT
• Brian D Iveson, DSCPT
• Ju Ri Jeong, PHARMD
• Herschel Lee Jones, DDS
• Stacy Michelle Jones, FNP-C
• Julie Jung, DMD
• Allison Beth Kane, BCBA
• Julia Karpunina, NP
• Richard A Kemp, MD
• Mariam Abdelrazig Khateeb, DMD

• Independent Duty Corpsman in Quantico, VA
• Providers in Quantico, VA by specialty
• Independent Duty Corpsman in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.