Individual
KEVIN THI HUNG LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
266 SYLVAN KNOLL RD, STAMFORD, CT 06902-5359
(203) 570-7664
Mailing address
266 SYLVAN KNOLL RD, STAMFORD, CT 06902-5359
(203) 570-7664
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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