NPI 1194959908
Joseph Paul Keddie, IDMT
Practice location
- Address
- 90 Hope Dr Bldg 6000, Mountain Home a F B, ID 83648-1062
- Phone
- (912) 592-6614
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1194959908
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 May 2009
- Record last updated
- 14 Mar 2011
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.