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Individual

ADAM DOUGLAS KAMM

Active
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Individual

ADAM DOUGLAS KAMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

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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