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

Mr. Paul Erik Kerckhoff, AIRFORCEIDMT

Individual provider Other Technician · NPI 1790919777

Mr. Paul Erik Kerckhoff, AIRFORCEIDMT is an Other Technician in Fairchild AFB, Washington. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009

Practice location Address checks out

701 Hospital Loop
Fairchild AFB, WA 99011-8704
Phone: (509) 247-5755
Fax: (509) 247-8833
Show map & directions

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

Specialties & licences

Other Technician (primary) Taxonomy 247200000X · Licence B0441656 (AZ)

Record details

NPI number1790919777
Entity typeIndividual (Type 1)
GenderMale
Credentials AIRFORCEIDMT
Sole proprietorNo
NPI enumeratedMay 6, 2009
Last updated in NPPESMay 6, 2009