KEIFFER PAUL SUDDETH PHARMD NPI 1538852090

NPI Information

NPI: 1538852090
Provider Name: KEIFFER PAUL SUDDETH, PHARMD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
907 LINCOLN HWY W
NEW HAVEN, IN
ZIP 46774
Phone: (260) 493-3736
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Keiffer Paul Suddeth, PHARMD is a student in an organized health care education training program in New Haven, IN. The provider is 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. Keiffer Paul Suddeth, PHARMD NPI is 1538852090. 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:

907 LINCOLN HWY W
NEW HAVEN, IN
ZIP 46774-141
Phone: (260) 493-3736
Fax: (260) 749-7947

The enumeration date for this NPI number is 5/31/2023 and was last updated on 5/31/2023.

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	390200000X	Student in an Organized Health Care Education/Training Program		45020981A	INDIANA	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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