Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bob Keophakdy, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1124797410

Bob Keophakdy, IDMT is an Independent Duty Medical Technicians in Charleston, South Carolina. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

204 W Hill Blvd
Charleston, SC 29404-4704
Phone: (843) 963-6880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Psc 62 Box 7002, Apo, AE 09643-0071 — (314) 722-8069

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1124797410
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedSeptember 9, 2021
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

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