Individual
DONALD PAUL KAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
441 W HAY ST, DECATUR, IL 62526-6324
(217) 424-2374
(217) 424-2383
Mailing address
109 BENTON DR, DECATUR, IL 62526-1407
(217) 875-1720
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005800238
BLUE CROSS/BLUE SHIELD
IL
01
—
007358
HEALTH ALLIANCE
IL
01
—
107867
HEALTHLINK
IL
Enumeration date
03/07/2006
Last updated
07/08/2007
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