Individual
ADDAM KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4500 BIG RUN SOUTH RD, GROVE CITY, OH 43123-9687
(614) 801-6500
Mailing address
3443 PARK ST APT 321, GROVE CITY, OH 43123-0015
(440) 752-2937
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/25/2015
Last updated
07/21/2022
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