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

Kadeem Archer Idodo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508796848

Kadeem Archer Idodo is a Student in an Organized Health Care Education/Training Program in Elmira, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

600 Roe Ave
Elmira, NY 14905-1676
Phone: (607) 737-4100
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1508796848
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address17 Calloway Ct, Mansfield, TX 76063-3466

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