# KATHRYN CARDAMON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1437173341
- **Gender:** F
- **Credential:** P.T

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 02189 | IA | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 02/12/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0424457 | — | IA |
| 05 | — | 0426072 | — | IA |
| 01 | — | 34894 | WELLMARK BC/BS | IA |
| 01 | — | 43-1994748 | JOHN DEERE | IA |
| 01 | — | 431994748 | UNITED HEALTH CARE NUMBER | IA |
| 01 | — | F241498 | MIDLANDS CHOICE NUMBER | IA |