Individual
KENNY LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-6000
Mailing address
2184 WILLOW CT, DENVER, CO 80238-3300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014611
CO
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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