Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BOB KEOPHAKDY, IDMT
ActiveBOB KEOPHAKDY, IDMT is a Independent Duty Medical Technician healthcare provider located in CHARLESTON, South Carolina. NPI 1124797410 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · CHARLESTON, SC
Registration Details
- NPI Number
- 1124797410
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2021 (4.889088585308 yrs)
- Last Updated
- Dec 3, 2025
Practice Information
- Address
-
204 W HILL BLVDCHARLESTON, SC, 294044704Browse SC providers · Browse ZIP 29404
- Phone
- 8439636880
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in CHARLESTON, SC
| Name | Credential | NPI |
|---|---|---|
| MONTI CUTLIP JR. | IDMT | 1922239466 |
| BRANDON STOKER | IDMT | 1205294550 |
| LAURA SIMMONS | — | 1821631763 |
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.