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Individual

KAY LYN CACCAMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RRT

Contact information

Practice address
11906 S ANTHONY EXT, FORT WAYNE, IN 46819-9508
(260) 639-6338
Mailing address
11906 S ANTHONY EXT, FORT WAYNE, IN 46819-9508
(260) 639-6338

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
30003676A
IN

Other

Enumeration date
01/27/2022
Last updated
01/27/2022
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