Individual
KATHRYN CARDAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02189
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0424457
—
IA
05
—
0426072
—
IA
01
—
34894
WELLMARK BC/BS
IA
01
—
43-1994748
JOHN DEERE
IA
01
—
431994748
UNITED HEALTH CARE NUMBER
IA
01
—
F241498
MIDLANDS CHOICE NUMBER
IA
Enumeration date
07/26/2006
Last updated
02/12/2020
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