Individual provider · Type 1 NPI
Bob Keophakdy, IDMT
Independent Duty Medical Technicians · Charleston, SC
Practice location
204 W Hill Blvd
Charleston, SC 29404-4704
Mailing address
Psc 62 Box 7002
Apo, AE 09643-0071
Other practice locations
- Psc 62 Box 7002, Apo, AE 09643-0071 · (314) 722-8069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Medical Technicians Primary | 1710I1003X | None listed |
Independent Duty Medical Technicians: An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe …
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About NPI 1124797410
Bob Keophakdy, IDMT's National Provider Identifier is 1124797410, issued on Sep 9, 2021. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Charleston, SC. The record was last updated on Dec 3, 2025.