Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KODY WHITESIDE
ActiveKODY WHITESIDE is a Independent Duty Medical Technician healthcare provider located in JOINT BASE CHARLESTON, South Carolina. NPI 1689060311 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · JOINT BASE CHARLESTON, SC
Registration Details
- NPI Number
- 1689060311
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2015 (11.335035440651 yrs)
- Last Updated
- Oct 12, 2023
Practice Information
- Address
-
204 W HILL BLVDJOINT BASE CHARLESTON, SC, 294044704Browse SC providers · Browse ZIP 29404
- Phone
- 8439636880
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in JOINT BASE CHARLESTON, SC
| Name | Credential | NPI |
|---|---|---|
| ALBERT JOSEPH PENDLETON | — | 1588299457 |
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.