Individual
KEVIN JOSEPH KATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ORT
Contact information
Practice address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
(812) 333-5915
(812) 333-5919
Mailing address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
(812) 333-5915
(812) 333-5919
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002806A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200199360
—
IN
Enumeration date
12/18/2007
Last updated
06/05/2008
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