NPI 1124797410

Bob Keophakdy, IDMT

Practitioner Independent Duty Medical Technicians Charleston, SC

Practice location

Address: 204 W Hill Blvd, Charleston, SC 29404-4704
Phone: (843) 963-6880
Mailing address: Psc 62 Box 7002, Apo, AE 09643-0071

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in South Carolina →

Registry record

NPI: 1124797410
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2021
Record last updated: 3 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.