MR. PAUL ERIK KERCKHOFF AIR FORCE IDMT NPI 1790919777

NPI Information

NPI: 1790919777
Provider Name: MR. PAUL ERIK KERCKHOFF, AIR FORCE IDMT
Classification: Technician, Other - 247200000X
Entity Type: Individual
Address:
701 HOSPITAL LOOP
FAIRCHILD AFB, WA
ZIP 99011
Phone: (509) 247-5755
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MR. Paul Erik Kerckhoff, AIR FORCE IDMT is a technician other in Fairchild Afb, WA. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. MR. Paul Erik Kerckhoff, AIR FORCE IDMT NPI is 1790919777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 HOSPITAL LOOP
FAIRCHILD AFB, WA
ZIP 99011-704
Phone: (509) 247-5755
Fax: (509) 247-8833

The enumeration date for this NPI number is 5/6/2009 and was last updated on 5/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	247200000X	Technician, Other		B0441656	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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