Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MR. KEVIN CAMAGONG
Active
Individual
MR. KEVIN CAMAGONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60806678
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602380999
PREMERA
WA
Enumeration date
03/26/2019
Last updated
03/26/2019
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