Individual
MISS KATHRYN M CAMPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, SCAT
Contact information
Practice address
4990 TULIP GROVE RD, GREEN SEA, SC 29545-4977
(843) 492-1047
Mailing address
7576 REGINA CT, MYRTLE BEACH, SC 29572-8005
(843) 492-1047
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000031633
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
09/09/2015
Last updated
01/02/2019
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