Individual
ADAM DOUGLAS KAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4701 CREEK RD, SUITE 110, CINCINNATI, OH 45242-8398
(513) 554-8080
(513) 554-8082
Mailing address
4701 CREEK RD, SUITE 110, CINCINNATI, OH 45242-8398
(513) 554-8080
(513) 554-8082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.012674
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000641296
ANTHEM
OH
05
—
3021812
—
OH
01
—
P01150048
MEDICARE RAILROAD
OH
Enumeration date
11/04/2009
Last updated
09/23/2013
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