KEVIN TRAHAN IDMT NPI 1598744021

NPI Information

  • NPI: 1598744021
  • Provider Name: KEVIN TRAHAN, IDMT
  • Classification: Technician, Other - 247200000X
  • Entity Type: Individual
  • Address: 4200 OCEAN ST
    ATLANTIC BEACH, FL
    ZIP 32233
  • Phone: (904) 564-7581

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NPI Details

Kevin Trahan, IDMT is a technician other in Atlantic Beach, FL. 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. Kevin Trahan, IDMT NPI is 1598744021. 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:

4200 OCEAN ST
ATLANTIC BEACH, FL
ZIP 32233-416
Phone: (904) 564-7581

The enumeration date for this NPI number is 1/12/2006 and was last updated on 7/8/2007.

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
1247200000XTechnician, OtherYes
21710I1002XMilitary Health Care ProviderIndependent Duty CorpsmanX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11710I1003XOTHERFLORIDAIDMT

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: 3/30/2025

NPI Synchronization or Removal

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