Individual provider · Type 1 NPI

Kadeem Archer Idodo

Student in an Organized Health Care Education/Training Program · Elmira, NY

NPI number 1508796848 Active

Practice location

600 Roe Ave
Elmira, NY 14905-1676

Call (607) 737-4100 Map

Mailing address

17 Calloway Ct
Mansfield, TX 76063-3466

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508796848

Kadeem Archer Idodo's National Provider Identifier is 1508796848, issued on May 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elmira, NY. The record was last updated on May 20, 2026.